Clarke, David Eric
Clarke, David Eric is an individual health care provider with primary practice located at 2565 Ceanothus Ave # 155 , Chico CA 95973-7615. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Clarke, David Eric can be contacted via phone (530) 899-3939.Contact Information
Primary practice address
2565 Ceanothus Ave # 155
Chico CA 95973-7615
Phone: (530) 899-3939
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 11302 | California |
Profile Details
NPI number | 1164478392 |
---|---|
LBN Legal business name | Clarke, David Eric |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 26th, 2006 |
Last updated | Mar 7th, 2023 - about last year |
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 | 1164478392 | NPPES |
California | Other | 912197331 | BLUE CROSS |
California | MEDICAID | SD0113020 | BLUE CROSS |
California | Other | SD0113020 | BLUE CROSS |
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