Clark, Peter

Clark, Peter is an individual health care provider with primary practice located at 670 Sierra Rose Dr , Reno NV 89511-2072. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Clark, Peter can be contacted via phone (775) 322-4550.

Contact Information

Primary practice address
670 Sierra Rose Dr Reno NV 89511-2072
Phone: (775) 322-4550
Fax: (775) 322-4776
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 7445 Nevada

Profile Details

NPI number 1821106709
LBN Legal business name Clark, Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jan 2nd, 2013 - about 11 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 1821106709 NPPES
Nevada MEDICAID 002016889

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