Clark, Robert Earl

Clark, Robert Earl is an individual health care provider with primary practice located at 200 Wellesley Trade Ln , Cary NC 27519-5576. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Clark, Robert Earl can be contacted via phone (919) 363-7546.

Contact Information

Primary practice address
200 Wellesley Trade Ln Cary NC 27519-5576
Phone: (919) 363-7546
Fax: (919) 363-3616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 31121 North Carolina
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 31121 North Carolina

Profile Details

NPI number 1982600789
LBN Legal business name Clark, Robert Earl
Credentials M.D., PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Sep 29th, 2020 - about 6 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 1982600789 NPPES
North Carolina Other 562070218C CIGNA
North Carolina Other 070012681 CIGNA
North Carolina Other 9715177001 CIGNA
North Carolina Other 0354066 CIGNA
North Carolina MEDICAID 8911591 CIGNA
North Carolina Other 81690 CIGNA
North Carolina Other 11591 CIGNA
North Carolina Other 13334 CIGNA
North Carolina Other 2046860 CIGNA
North Carolina Other 259852 CIGNA
North Carolina Other 13123 CIGNA
North Carolina Other 4347967 CIGNA

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