Clark, Samuel

Clark, Samuel is an individual health care provider with primary practice located at 4755 Ogletown Stanton Rd Ste 2E99 , Newark DE 19718-2200. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Clark, Samuel can be contacted via phone (302) 733-5982.

Contact Information

Primary practice address
4755 Ogletown Stanton Rd Ste 2E99 Newark DE 19718-2200
Phone: (302) 733-5982
Fax: (302) 733-6081
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X L1-0048020 Delaware
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X LP-0010513 Delaware
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X LP-0010513 Delaware

Profile Details

NPI number 1417706623
LBN Legal business name Clark, Samuel
Credentials AGACNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2024
Last updated Jul 12th, 2024 - about last year

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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