Clarke, Eric Peter
Clarke, Eric Peter is an individual health care provider with primary practice located at 2707 Citico Avenue , Chattanooga TN 37406-3402. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Clarke, Eric Peter can be contacted via phone (423) 624-8588.Contact Information
Primary practice address
2707 Citico Avenue
Chattanooga TN 37406-3402
Phone: (423) 624-8588
Fax: (423) 622-3069
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 21142 | Tennessee |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 032102 | Georgia |
Other Service Providers / Specialist | 174400000X | 29432 | Alabama |
Profile Details
NPI number | 1023002466 |
---|---|
LBN Legal business name | Clarke, Eric Peter |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2005 |
Last updated | Apr 5th, 2010 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023002466 | NPPES |
Tennessee | MEDICAID | 3868282 | |
Tennessee | MEDICAID | 00932159A |
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