Clarke, Ian

Clarke, Ian is an individual health care provider with primary practice located at 400 Columbus Ave , New Haven CT 06519-1233. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Clarke, Ian can be contacted via phone (203) 503-3000.

Contact Information

Primary practice address
400 Columbus Ave New Haven CT 06519-1233
Phone: (203) 503-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 035458 Connecticut

Profile Details

NPI number 1669778908
LBN Legal business name Clarke, Ian
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2011
Last updated Feb 3rd, 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 1669778908 NPPES
Connecticut MEDICAID 004235900

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