Clark, Justin
Clark, Justin is an individual health care provider with primary practice located at 99 Campus Ave Suite 303, Lewiston ME 04240-6045. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Clark, Justin can be contacted via phone (207) 782-5424.Contact Information
Primary practice address
99 Campus Ave Suite 303
Lewiston ME 04240-6045
Phone: (207) 782-5424
Fax: (207) 782-1136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 215216 | Massachusetts |
Profile Details
| NPI number | 1962480459 |
|---|---|
| LBN Legal business name | Clark, Justin |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Feb 15th, 2012 - 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.
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