Clarke, Astrid Grace

Clarke, Astrid Grace is an sole proprietor health care provider with primary practice located at 1 Powder Horn Dr , Palm Coast FL 32164-6703. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Clarke, Astrid Grace can be contacted via phone (203) 435-6807.

Contact Information

Primary practice address
1 Powder Horn Dr Palm Coast FL 32164-6703
Phone: (203) 435-6807
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 038741 Connecticut
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME119280 Florida

Profile Details

NPI number 1386740595
LBN Legal business name Clarke, Astrid Grace
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2006
Last updated Aug 11th, 2020 - about 4 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 1386740595 NPPES
Connecticut MEDICAID 001387415

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