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:
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Health care specialties

SpecialtyCodeLicense #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 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780681999 NPPES
Colorado MEDICAID 01295641

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