Capo, Patricia Jane Clark

Capo, Patricia Jane Clark is an individual health care provider with primary practice located at 4441 Diplomacy Dr , Anchorage AK 99508-5910. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Capo, Patricia Jane Clark can be contacted via phone (907) 729-3100.

Contact Information

Primary practice address
4441 Diplomacy Dr Anchorage AK 99508-5910
Phone: (907) 729-3100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2011-00794 North Carolina
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 129907 Alaska

Profile Details

NPI number 1588862684
LBN Legal business name Capo, Patricia Jane Clark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2007
Last updated Jan 21st, 2020 - about 5 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 1588862684 NPPES
South Carolina MEDICAID NC1450

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