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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821106709 | NPPES |
| Nevada | MEDICAID | 002016889 |
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