Clark, L. Ross

Clark, L. Ross is an individual health care provider with primary practice located at 351 Hartnell Ave Redding Vaopc, Redding CA 96002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Clark, L. Ross can be contacted via phone (530) 226-7675.

Contact Information

Primary practice address
351 Hartnell Ave Redding Vaopc Redding CA 96002
Phone: (530) 226-7675
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X G38671 California

Profile Details

NPI number 1356324941
LBN Legal business name Clark, L. Ross
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Jul 8th, 2007 - about 17 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 1356324941 NPPES
California Other G38671 STATE MEDICAL LICENSE

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