Clark, Adam Andrew
Clark, Adam Andrew is an sole proprietor health care provider with primary practice located at 9311 Claremont Ave Ne , Albuquerque NM 87112-1260. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Clark, Adam Andrew can be contacted via phone (505) 401-4521.Contact Information
Primary practice address
9311 Claremont Ave Ne
Albuquerque NM 87112-1260
Phone: (505) 401-4521
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA2024-0071 | New Mexico |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1447986914 |
|---|---|
| LBN Legal business name | Clark, Adam Andrew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2022 |
| Last updated | Jul 17th, 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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