Clark, Vivian Elizabeth
Clark, Vivian Elizabeth is an individual health care provider with primary practice located at 120 Conner Dr #101 Chapel Hill Ob Gyn, Chapel Hill NC 27514. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Clark, Vivian Elizabeth can be contacted via phone (919) 942-8571.Contact Information
Primary practice address
120 Conner Dr #101 Chapel Hill Ob Gyn
Chapel Hill NC 27514
Phone: (919) 942-8571
Fax: (919) 942-6355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 30614 | North Carolina |
Profile Details
| NPI number | 1942277652 |
|---|---|
| LBN Legal business name | Clark, Vivian Elizabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Sep 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942277652 | NPPES |
| North Carolina | Other | 22171 | BCBS |
| North Carolina | Other | 22179 | BCBS |
| North Carolina | Other | 1284188003 | BCBS |
| North Carolina | Other | 154773 | BCBS |
| North Carolina | MEDICAID | 7922717 | BCBS |
| North Carolina | Other | 562142486 | BCBS |
| North Carolina | Other | 2855944 | BCBS |
| North Carolina | Other | 2276981 | BCBS |
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