Clark, Richard Dan
Clark, Richard Dan is an individual health care provider with primary practice located at 3011 Avenue B , Scottsbluff NE 69361-4372. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Clark, Richard Dan can be contacted via phone (308) 632-2215.Contact Information
Primary practice address
3011 Avenue B
Scottsbluff NE 69361-4372
Phone: (308) 632-2215
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 12039 | Nebraska |
Profile Details
| NPI number | 1902908569 |
|---|---|
| LBN Legal business name | Clark, Richard Dan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 3rd, 2006 |
| Last updated | Nov 14th, 2011 - about 15 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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