Warden, Clark

Warden, Clark is an individual health care provider with primary practice located at 7015 Hwy 190 E Serv Rd Suite 200, Covington LA 70433-4960. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Warden, Clark can be contacted via phone (985) 234-3000.

Contact Information

Primary practice address
7015 Hwy 190 E Serv Rd Suite 200 Covington LA 70433-4960
Fax: (985) 234-3002
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 017994 Louisiana

Profile Details

NPI number 1831159631
LBN Legal business name Warden, Clark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Apr 4th, 2024 - about 8 months 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 1831159631 NPPES
Louisiana MEDICAID 1197131

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