Clark, Mark Allen
Clark, Mark Allen is an individual health care provider with primary practice located at 111 Park Hill Dr # A , Fredericksburg VA 22401-3357. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Clark, Mark Allen can be contacted via phone (540) 368-1044.Contact Information
Primary practice address
111 Park Hill Dr # A
Fredericksburg VA 22401-3357
Phone: (540) 368-1044
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 0024166868 | Virginia |
Profile Details
| NPI number | 1407903693 |
|---|---|
| LBN Legal business name | Clark, Mark Allen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Nov 7th, 2012 - 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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