Clark, Terry D
Clark, Terry D is an individual health care provider with primary practice located at 290 Big Run Rd , Lexington KY 40503-2903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Clark, Terry D can be contacted via phone (859) 278-9513.Contact Information
Primary practice address
290 Big Run Rd
Lexington KY 40503-2903
Phone: (859) 278-9513
Fax: (859) 277-6063
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 21388 | Kentucky |
Profile Details
| NPI number | 1467451807 |
|---|---|
| LBN Legal business name | Clark, Terry D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Oct 19th, 2007 - about 17 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 | 1467451807 | NPPES |
| Kentucky | MEDICAID | 64213887 |
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