Clark, Scott D

Clark, Scott D is an individual health care provider with primary practice located at 462 Grider St Exigence Hospitalist Of Team Health, Buffalo NY 14215-3021. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Clark, Scott D can be contacted via phone (716) 898-6995.

Contact Information

Primary practice address
462 Grider St Exigence Hospitalist Of Team Health Buffalo NY 14215-3021
Phone: (716) 898-6995
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F3043261 New York

Profile Details

NPI number 1396719605
LBN Legal business name Clark, Scott D
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Dec 6th, 2021 - about 4 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 1396719605 NPPES
Other P00468024 MEDICARE RAILROAD
Other 9513263 MEDICARE RAILROAD
Other 00027596001 MEDICARE RAILROAD
Other 000528561001 MEDICARE RAILROAD
MEDICAID 02772021 MEDICARE RAILROAD

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