Clark, Sara Emily Allen
Clark, Sara Emily Allen is an individual health care provider with primary practice located at 2500 N State St Department Of Pediatrics, Jackson MS 39216-4500. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Clark, Sara Emily Allen can be contacted via phone (601) 984-6562.Contact Information
Primary practice address
2500 N State St Department Of Pediatrics
Jackson MS 39216-4500
Phone: (601) 984-6562
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | T-2782 | Mississippi |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25122 | Mississippi |
Profile Details
| NPI number | 1558772335 |
|---|---|
| LBN Legal business name | Clark, Sara Emily Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 14th, 2014 |
| Last updated | Aug 11th, 2017 - 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.
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