Clark, Louis Phillip

Clark, Louis Phillip is an individual health care provider with primary practice located at 4140 Ferncreek Dr Suite 801, Fayetteville NC 28314-2563. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Clark, Louis Phillip can be contacted via phone (910) 484-2171.

Contact Information

Primary practice address
4140 Ferncreek Dr Suite 801 Fayetteville NC 28314-2563
Phone: (910) 484-2171
Fax: (910) 484-4568
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 27779 North Carolina
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 27779 North Carolina

Profile Details

NPI number 1598739682
LBN Legal business name Clark, Louis Phillip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Oct 5th, 2012 - about 13 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 1598739682 NPPES
North Carolina Other 22718 BCBS INDIVIDUAL ID NUMBER
North Carolina MEDICAID 8922718 BCBS INDIVIDUAL ID NUMBER

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