Clark, Laura E

Clark, Laura E is an individual health care provider with primary practice located at 1860 E Egbert St , Brighton CO 80601-2475. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Clark, Laura E can be contacted via phone (303) 659-4000.

Contact Information

Primary practice address
1860 E Egbert St Brighton CO 80601-2475
Phone: (303) 659-4000
Fax: (303) 659-9306
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.0003055 Colorado

Profile Details

NPI number 1427362516
LBN Legal business name Clark, Laura E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2010
Last updated Nov 8th, 2013 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427362516 NPPES
Colorado MEDICAID 85357588

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