Clarke, Mark Gregory
Clarke, Mark Gregory is an individual health care provider with primary practice located at 216 Mason Ave , Cape Charles VA 23310-3200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Clarke, Mark Gregory can be contacted via phone (757) 331-1422.Contact Information
Primary practice address
216 Mason Ave
Cape Charles VA 23310-3200
Phone: (757) 331-1422
Fax: (757) 331-1624
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101038467 | Virginia |
Profile Details
| NPI number | 1346225695 |
|---|---|
| LBN Legal business name | Clarke, Mark Gregory |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 9th, 2005 |
| Last updated | Oct 3rd, 2013 - about 11 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 | 1346225695 | NPPES |
| Virginia | MEDICAID | 1346225695 |
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