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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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