Clark, Nicholas Samuel

Clark, Nicholas Samuel is an individual health care provider with primary practice located at 2331 Franklin Rd Sw , Roanoke VA 24014-1111. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Clark, Nicholas Samuel can be contacted via phone (540) 224-5170.

Contact Information

Primary practice address
2331 Franklin Rd Sw Roanoke VA 24014-1111
Phone: (540) 224-5170
Fax: (540) 344-2950
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 0101264909 Virginia

Profile Details

NPI number 1356760508
LBN Legal business name Clark, Nicholas Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2014
Last updated Dec 10th, 2020 - about 4 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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