Clark, Linda

Clark, Linda is an individual health care provider with primary practice located at 13 Saint Albans Cir Suite C, Newtown Square PA 19073-3622. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Clark, Linda can be contacted via phone (484) 422-8647.

Contact Information

Primary practice address
13 Saint Albans Cir Suite C Newtown Square PA 19073-3622
Phone: (484) 422-8647
Fax: (484) 422-8648
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MD059952L Pennsylvania
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X MD059952L Pennsylvania

Profile Details

NPI number 1376507772
LBN Legal business name Clark, Linda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Jul 12th, 2017 - about 8 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 1376507772 NPPES
Pennsylvania Other P00798987 RAILROAD MEDICARE
Pennsylvania MEDICAID 001664319 RAILROAD MEDICARE
Pennsylvania MEDICAID 01664319 RAILROAD MEDICARE

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