Clark, Robin Nicole
Clark, Robin Nicole is an individual health care provider with primary practice located at 505 Parnassus Ave , San Francisco CA 94143. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Clark, Robin Nicole can be contacted via phone (415) 353-1238.Contact Information
Primary practice address
505 Parnassus Ave
San Francisco CA 94143
Phone: (415) 353-1238
Fax: (415) 353-1799
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | P16346 | California |
Profile Details
NPI number | 1063403483 |
---|---|
LBN Legal business name | Clark, Robin Nicole |
Credentials | PA C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 3rd, 2005 |
Last updated | Aug 6th, 2023 - about last year |
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 | 1063403483 | NPPES |
California | Other | OPA163460 | BLUE SHIELD |
California | MEDICAID | OPA163460 | BLUE SHIELD |
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