Clark, Stephen
Clark, Stephen is an sole proprietor health care provider with primary practice located at 1013 E Haines St , Philadelphia PA 19138-1533. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family Health, which is considered as his primary health care specialty. Clark, Stephen can be contacted via phone (215) 438-1095.Contact Information
Primary practice address
1013 E Haines St
Philadelphia PA 19138-1533
Phone: (215) 438-1095
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family Health | 364SF0001X | SP013599 | Pennsylvania |
Profile Details
NPI number | 1083039085 |
---|---|
LBN Legal business name | Clark, Stephen |
Credentials | NURSE PRACTITIONER |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 27th, 2014 |
Last updated | Feb 27th, 2014 - about 10 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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