Clark, Zachary Eugene

Clark, Zachary Eugene is an individual health care provider with primary practice located at 619 19Th St S , Birmingham AL 35249. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Clark, Zachary Eugene can be contacted via phone (205) 934-4011.

Contact Information

Primary practice address
619 19Th St S Birmingham AL 35249
Phone: (205) 934-4011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 35318 Alabama
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35318 Alabama

Profile Details

NPI number 1023429495
LBN Legal business name Clark, Zachary Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2014
Last updated Jun 1st, 2023 - 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 1023429495 NPPES
Alabama Other 35318 STATE MEDICAL LICENSE
Alabama Other 35318 STATE MEDICAL LICENSE

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