Clark, Marc L.

Clark, Marc L. is an individual health care provider with primary practice located at 870 State Farm Rd Ste 102, Boone NC 28607-4861. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Clark, Marc L. can be contacted via phone (828) 264-0029.

Contact Information

Primary practice address
870 State Farm Rd Ste 102 Boone NC 28607-4861
Fax: (828) 265-3305
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 16869 Tennessee

Profile Details

NPI number 1609982081
LBN Legal business name Clark, Marc L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Jan 7th, 2010 - about 14 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 1609982081 NPPES
Other 62-1482379 TAX ID
Other 3702765 TAX ID

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