Clark, Joseph C

Clark, Joseph C is an individual health care provider with primary practice located at 100 Hospital Ave , Du Bois PA 15801-1440. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Clark, Joseph C can be contacted via phone (814) 375-3471.

Contact Information

Primary practice address
100 Hospital Ave Du Bois PA 15801-1440
Fax: (814) 375-3472
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS011976 Pennsylvania

Profile Details

NPI number 1235198391
LBN Legal business name Clark, Joseph C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2006
Last updated Dec 31st, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235198391 NPPES
Pennsylvania MEDICAID 101050654

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