Clark, Shawn B
Clark, Shawn B is an individual health care provider with primary practice located at 6701 Airport Blvd Ste D146 , Mobile AL 36608-3784. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Clark, Shawn B can be contacted via phone (251) 287-2176.Contact Information
Primary practice address
6701 Airport Blvd Ste D146
Mobile AL 36608-3784
Phone: (251) 287-2176
Fax: (251) 287-2279
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 23993 | Alabama |
Profile Details
| NPI number | 1306849575 |
|---|---|
| LBN Legal business name | Clark, Shawn B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Feb 17th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306849575 | NPPES |
| Alabama | MEDICAID | 120636 |
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