Clark, Robert Jamie

Clark, Robert Jamie is an individual health care provider with primary practice located at 101 Sivley Rd , Huntsville AL 35801-4421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Clark, Robert Jamie can be contacted via phone (256) 539-9471.

Contact Information

Primary practice address
101 Sivley Rd Huntsville AL 35801-4421
Phone: (256) 539-9471
Fax: (256) 539-9472
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 00018534 Alabama

Profile Details

NPI number 1164401410
LBN Legal business name Clark, Robert Jamie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2006
Last updated Dec 19th, 2014 - about 10 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 1164401410 NPPES
Alabama MEDICAID 009976005
Alabama Other 4044991
Alabama Other 51024084
Alabama MEDICAID 000024084

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