Clark, Rose M
Clark, Rose M is an individual health care provider with primary practice located at 489 Washington Ave , Clarksburg WV 26301-2825. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Clark, Rose M can be contacted via phone (304) 622-2708.Contact Information
Primary practice address
489 Washington Ave
Clarksburg WV 26301-2825
Phone: (304) 622-2708
Fax: (304) 623-9302
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 24387 | West Virginia |
Profile Details
NPI number | 1821271008 |
---|---|
LBN Legal business name | Clark, Rose M |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 11th, 2007 |
Last updated | Mar 30th, 2010 - 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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