Clark, Megan Jo

Clark, Megan Jo is an individual health care provider with primary practice located at 8301 E Prentice Ave Ste 125 , Greenwood Village CO 80111-2989. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Clark, Megan Jo can be contacted via phone (303) 771-3939.

Contact Information

Primary practice address
8301 E Prentice Ave Ste 125 Greenwood Village CO 80111-2989
Phone: (303) 771-3939
Fax: (303) 771-4949
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5014 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.0003925 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA.0003925 Colorado

Profile Details

NPI number 1982989885
LBN Legal business name Clark, Megan Jo
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2011
Last updated Dec 18th, 2018 - about 6 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 1982989885 NPPES
Other 1982989885 NPI

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