Clark, Sallie Brooks
Clark, Sallie Brooks is an individual health care provider with primary practice located at 1421 S Potomac St Ste 220 , Aurora CO 80012. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Clark, Sallie Brooks can be contacted via phone (303) 337-5600.Contact Information
Primary practice address
1421 S Potomac St Ste 220
Aurora CO 80012
Phone: (303) 337-5600
Fax: (303) 337-7734
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 29564 | Colorado |
Profile Details
| NPI number | 1780681999 |
|---|---|
| LBN Legal business name | Clark, Sallie Brooks |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Jun 6th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780681999 | NPPES |
| Colorado | MEDICAID | 01295641 |
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