Clark, Stephen Forest

Clark, Stephen Forest is an individual health care provider with primary practice located at 115 Manning Dr Sw Suite D101, Huntsville AL 35801-4341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Clark, Stephen Forest can be contacted via phone (256) 533-6070.

Contact Information

Primary practice address
115 Manning Dr Sw Suite D101 Huntsville AL 35801-4341
Fax: (256) 533-9374
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 00026522 Alabama

Profile Details

NPI number 1225080781
LBN Legal business name Clark, Stephen Forest
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Apr 4th, 2022 - about 2 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 1225080781 NPPES
Alabama MEDICAID 051555819

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