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:
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Health care specialties

SpecialtyCodeLicense #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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