J Scott Clark Do Pc

LBN: J Scott Clark Do Pc
J Scott Clark Do Pc is an health care organization with primary practice located at 1103 Dewey Ave , Poteau OK 74953-4411. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. J Scott Clark Do Pc can be contacted via phone (918) 649-3777, or through Clark, Jonathan Scott via phone (918) 649-3777.

Contact Information

Primary practice address
1103 Dewey Ave Poteau OK 74953-4411
Phone: (918) 649-3777
Fax: (918) 649-3891
Website:
Map and Directions
Authorized official contact:
Name: Clark, Jonathan Scott Doctor of Osteopathy (DO)
Phone: (918) 649-3777

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3561 Oklahoma

Profile Details

NPI number 1942489349
LBN Legal business name J Scott Clark Do Pc
DBA Doing business as
Authorized official Clark, Jonathan Scott Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2007
Last updated Mar 11th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942489349 NPPES
Oklahoma Other DA5077 RAILROAD MEDICARE
Oklahoma MEDICAID 200017760A RAILROAD MEDICARE

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