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
Phone: (985) 234-3000
Fax: (985) 234-3002
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831159631 | NPPES |
Louisiana | MEDICAID | 1197131 |
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