Clarke, Dedric J

Clarke, Dedric J is an individual health care provider with primary practice located at 3715 Prytania St Ste 400 , New Orleans LA 70115-3768. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Clarke, Dedric J can be contacted via phone (504) 897-8276.

Contact Information

Primary practice address
3715 Prytania St Ste 400 New Orleans LA 70115-3768
Phone: (504) 897-8276
Fax: (504) 897-8336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 200764 Louisiana
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X MD.200764 Louisiana

Profile Details

NPI number 1508056441
LBN Legal business name Clarke, Dedric J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2007
Last updated Jul 19th, 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 1508056441 NPPES
Louisiana MEDICAID 1066885

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