Clark, Seth

Clark, Seth is an sole proprietor health care provider with primary practice located at 200 Corliss St , Providence RI 02904. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Clark, Seth can be contacted via phone (401) 606-8530.

Contact Information

Primary practice address
200 Corliss St Providence RI 02904
Phone: (401) 606-8530
Fax: (401) 606-8549
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD15837 Rhode Island
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X MD15837 Rhode Island

Profile Details

NPI number 1801208798
LBN Legal business name Clark, Seth
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2014
Last updated May 13th, 2021 - about 3 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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