Clarke, Mark C
Clarke, Mark C is an individual health care provider with primary practice located at 2300 N Edward St , Decatur IL 62526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Clarke, Mark C can be contacted via phone (217) 876-5023.Contact Information
Primary practice address
2300 N Edward St
Decatur IL 62526
Phone: (217) 876-5023
Fax: (217) 876-5013
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | Illinois |
Profile Details
| NPI number | 1366555112 |
|---|---|
| LBN Legal business name | Clarke, Mark C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1366555112 | NPPES |
| Illinois | MEDICAID | 0360864171 |
Popular Providers
-
Kligora, Christopher J
311 W 8Th St Ne , Rome GA 30165-2723 -
Hom, Steven G
311 W 8Th St Ne , Rome GA 30165-2723 -
Johnson, David Martin
2300 N Edward Str , Decatur IL 62526 -
Choi, Michael
1800 E Lake Shore Dr , Decatur IL 62521-3810 -
Frigy, Alan F
1800 E Lake Shore Dr , Decatur IL 62521-3883 -
Schuetz, Maurice Joseph
2300 N Edward St , Decatur IL 62526 -
Meade, Paul Samuel
Mount St. Mary'S Hospital Laboratory 5300 Military Rd, Lewiston NY 14092-2061 -
Coleman, Benjamin Robert
1800 E Lake Shore Dr Department Of Pathology, Decatur IL 62521-3810