Clark, Todd V
Clark, Todd V is an individual health care provider with primary practice located at 250 Fountain Ct Attn: Lauren Bryant, Lexington KY 40509-1888. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Clark, Todd V can be contacted via phone (859) 263-4444.Contact Information
Primary practice address
250 Fountain Ct Attn: Lauren Bryant
Lexington KY 40509-1888
Phone: (859) 263-4444
Fax: (859) 254-1814
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 42806 | Kentucky |
Profile Details
| NPI number | 1205078664 |
|---|---|
| LBN Legal business name | Clark, Todd V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2009 |
| Last updated | Dec 17th, 2013 - about 11 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 | 1205078664 | NPPES |
| Other | 000000612211 | ANTHEM BLUE CROSS & BLUE SHIELD |
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