Clark, Rebecca S
Clark, Rebecca S is an individual health care provider with primary practice located at 340 Oxford St #110, Dover OH 44622-1965. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Clark, Rebecca S can be contacted via phone (330) 343-0753.Contact Information
Primary practice address
340 Oxford St #110
Dover OH 44622-1965
Phone: (330) 343-0753
Fax: (330) 343-4787
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 35062614 | Ohio |
Profile Details
NPI number | 1528034600 |
---|---|
LBN Legal business name | Clark, Rebecca S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 27th, 2006 |
Last updated | Aug 24th, 2016 - about 8 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 | 1528034600 | NPPES |
Ohio | MEDICAID | 0911213 |
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