Clark, Ryan Patrick

Clark, Ryan Patrick is an sole proprietor health care provider with primary practice located at 309 W Saint Louis St , West Frankfort IL 62896-2099. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Clark, Ryan Patrick can be contacted via phone (618) 932-2200.

Contact Information

Primary practice address
309 W Saint Louis St West Frankfort IL 62896-2099
Phone: (618) 932-2200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085005075 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2014009216 Missouri

Profile Details

NPI number 1013335496
LBN Legal business name Clark, Ryan Patrick
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2014
Last updated Aug 16th, 2014 - about 11 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.

Request for update

Popular Providers