Clark, Justin S
Clark, Justin S is an individual health care provider with primary practice located at 1746 Cole Blvd Ste 150 , Lakewood CO 80401-3267. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Clark, Justin S can be contacted via phone (303) 914-8800.Contact Information
Primary practice address
1746 Cole Blvd Ste 150
Lakewood CO 80401-3267
Phone: (303) 914-8800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036-139305 | Illinois |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 2020022078 | Missouri |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 51149-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | DR.0069796 | Colorado |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 51149-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 57777 | Montana |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 83176 | South Carolina |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 64526 | Delaware |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 281634 | Massachusetts |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | C166687 | California |
Profile Details
| NPI number | 1033146634 |
|---|---|
| LBN Legal business name | Clark, Justin S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Dec 20th, 2022 - about 3 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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