Clark, Joseph W

Clark, Joseph W is an individual health care provider with primary practice located at 927 Franklin St , Huntsville AL 35801. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Clark, Joseph W can be contacted via phone (256) 539-2728.

Contact Information

Primary practice address
927 Franklin St Huntsville AL 35801
Phone: (256) 539-2728
Fax: (256) 428-3423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 12715 Alabama
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 12715 Alabama

Profile Details

NPI number 1295704419
LBN Legal business name Clark, Joseph W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated May 17th, 2010 - about 14 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 1295704419 NPPES
Alabama Other 51008833 BCBS
Alabama MEDICAID 000008833 BCBS
Alabama Other 0910281 BCBS
Alabama Other 200038944 BCBS
Alabama Other 4233898 BCBS

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