Page, Clark Delona
Page, Clark Delona is an individual health care provider with primary practice located at 9697 Saint Catherines Dr # 300 , Pleasant Prairie WI 53158-2118. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Page, Clark Delona can be contacted via phone (262) 656-3338.Contact Information
Primary practice address
9697 Saint Catherines Dr # 300
Pleasant Prairie WI 53158-2118
Phone: (262) 656-3338
Fax: (262) 656-3368
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA15731 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 7708-23 | Wisconsin |
Profile Details
NPI number | 1588308258 |
---|---|
LBN Legal business name | Page, Clark Delona |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 27th, 2022 |
Last updated | May 16th, 2024 - about last year |
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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