Clark, Stephen D
Clark, Stephen D is an individual health care provider with primary practice located at 20333 W 151St St , Olathe KS 66061-5350. He recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Body Imaging. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Clark, Stephen D can be contacted via phone (913) 791-4291.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 04-26770 | Kansas |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 0426770 | Kansas |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 0426770 | Kansas |
| Allopathic & Osteopathic Physicians / Therapeutic Radiology | 2085R0203X | 0426770 | Kansas |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 0426770 | Kansas |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | 0426770 | Kansas |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 0426770 | Kansas |
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 0426770 | Kansas |
Profile Details
| NPI number | 1881676286 |
|---|---|
| LBN Legal business name | Clark, Stephen D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 19th, 2005 |
| Last updated | Nov 22nd, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881676286 | NPPES |
| Kansas | MEDICAID | 100331230D |
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