Clark, Julie

Clark, Julie is an individual health care provider with primary practice located at 307 North Broadway , Poteau OK 74953-0689. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Clark, Julie can be contacted via phone (918) 647-2349.

Contact Information

Primary practice address
307 North Broadway Poteau OK 74953-0689
Phone: (918) 647-2349
Fax: (918) 641-2359
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 1528 Oklahoma

Profile Details

NPI number 1093737439
LBN Legal business name Clark, Julie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Sep 22nd, 2011 - 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 1093737439 NPPES
Oklahoma MEDICAID 200089790A

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