Clark, Rebecca Adair

Clark, Rebecca Adair is an individual health care provider with primary practice located at 3308 Tulane Ave , New Orleans LA 70119-7100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Clark, Rebecca Adair can be contacted via phone (504) 903-7302.

Contact Information

Primary practice address
3308 Tulane Ave New Orleans LA 70119-7100
Phone: (504) 903-7302
Fax: (504) 903-5313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD.018089 Louisiana

Profile Details

NPI number 1043219140
LBN Legal business name Clark, Rebecca Adair
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Feb 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043219140 NPPES
Louisiana MEDICAID 1392847
Louisiana MEDICAID 00125805

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