Clark, Justine

Clark, Justine is an individual health care provider with primary practice located at 3201 33Rd St S , Fargo ND 58104-8823. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Clark, Justine can be contacted via phone (701) 365-4488.

Contact Information

Primary practice address
3201 33Rd St S Fargo ND 58104-8823
Phone: (701) 365-4488
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 200090 North Dakota

Profile Details

NPI number 1770329203
LBN Legal business name Clark, Justine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2024
Last updated Jul 3rd, 2024 - about 4 months 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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