Clark, Joseph Huston
Clark, Joseph Huston is an individual health care provider with primary practice located at 301 E Wendover Ave Ste 311, Greensboro NC 27401-1230. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Clark, Joseph Huston can be contacted via phone (336) 272-6161.Contact Information
Primary practice address
301 E Wendover Ave Ste 311
Greensboro NC 27401-1230
Phone: (336) 272-6161
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 200500021 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 200500021 | North Carolina |
Profile Details
| NPI number | 1194773457 |
|---|---|
| LBN Legal business name | Clark, Joseph Huston |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Apr 15th, 2013 - about 12 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 | 1194773457 | NPPES |
| North Carolina | MEDICAID | 5900510 | |
| North Carolina | Other | 1386T | |
| North Carolina | Other | 4304710 | |
| North Carolina | Other | B1041 |
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