Clark, Mary Jo

Clark, Mary Jo is an individual health care provider with primary practice located at 200 Village Dr Suite B, Greensburg PA 15601-3783. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Clark, Mary Jo can be contacted via phone (724) 832-0850.

Contact Information

Primary practice address
200 Village Dr Suite B Greensburg PA 15601-3783
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD037253E Pennsylvania

Profile Details

NPI number 1922096338
LBN Legal business name Clark, Mary Jo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Apr 6th, 2021 - about 3 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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