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
Phone: (513) 206-1120
Fax: (512) 206-1122
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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