Clarke, Greer A

Clarke, Greer A is an individual health care provider with primary practice located at 15 Vreeland Ave , East Longmeadow MA 01028-1631. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Clarke, Greer A can be contacted via phone (413) 787-2555.

Contact Information

Primary practice address
15 Vreeland Ave East Longmeadow MA 01028-1631
Fax: (413) 787-9992
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 77701 Massachusetts

Profile Details

NPI number 1316934615
LBN Legal business name Clarke, Greer A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2005
Last updated Dec 13th, 2011 - about 13 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 1316934615 NPPES
Massachusetts MEDICAID 3109763

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