Jean, Clark S

Jean, Clark S is an individual health care provider with primary practice located at 7445 Peak Dr , Las Vegas NV 89128-9011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Jean, Clark S can be contacted via phone (702) 952-2140.

Contact Information

Primary practice address
7445 Peak Dr Las Vegas NV 89128-9011
Phone: (702) 952-2140
Fax: (702) 952-2147
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 10420 Nevada

Profile Details

NPI number 1205844750
LBN Legal business name Jean, Clark S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Feb 29th, 2024 - about 2 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 1205844750 NPPES
Nevada MEDICAID 100500707
Nevada Other P00078315

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