Clarke, Aidan M

Clarke, Aidan M is an individual health care provider with primary practice located at 1725 W Montecito Way , San Diego CA 92103-1227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Clarke, Aidan M can be contacted via phone (619) 210-9291.

Contact Information

Primary practice address
1725 W Montecito Way San Diego CA 92103-1227
Phone: (619) 210-9291
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X G64292 California
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X G64292 California

Profile Details

NPI number 1215941158
LBN Legal business name Clarke, Aidan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jul 28th, 2022 - 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 1215941158 NPPES
Other 00G642920 BLUE SHIELD

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