Clarke, Gregory

Clarke, Gregory is an individual health care provider with primary practice located at 2123 Auburn Ave Suite 138, Cincinnati OH 45219-2906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Clarke, Gregory can be contacted via phone (513) 206-1120.

Contact Information

Primary practice address
2123 Auburn Ave Suite 138 Cincinnati OH 45219-2906
Fax: (512) 206-1122
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35069414 Ohio

Profile Details

NPI number 1881671766
LBN Legal business name Clarke, Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Oct 21st, 2020 - about 5 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 1881671766 NPPES
Other 0659341 AETNA
MEDICAID 64298508 AETNA
Other P00222905 AETNA
MEDICAID 200076710 AETNA
Other 311438871044 AETNA
Other 000000215174 AETNA
Other 283291 AETNA
MEDICAID 64298508 AETNA
Other 25-20465 AETNA
Other 263070266 AETNA
Other 69414-01 AETNA

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