Clark, Joseph Brian
Clark, Joseph Brian is an individual health care provider with primary practice located at 500 University Dr , Hershey PA 17033-2360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Clark, Joseph Brian can be contacted via phone (800) 243-1455.Contact Information
Primary practice address
500 University Dr
Hershey PA 17033-2360
Phone: (800) 243-1455
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | MD431746 | Pennsylvania |
Profile Details
NPI number | 1043330558 |
---|---|
LBN Legal business name | Clark, Joseph Brian |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 29th, 2007 |
Last updated | Jan 2nd, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043330558 | NPPES |
Pennsylvania | Other | MD431746 | MEDICAL LICENSE |
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