Clark, Alan W
Clark, Alan W is an individual health care provider with primary practice located at 1401 S Laventure Rd , Mount Vernon WA 98274-6033. 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. Clark, Alan W can be contacted via phone (360) 424-2400.Contact Information
Primary practice address
1401 S Laventure Rd
Mount Vernon WA 98274-6033
Phone: (360) 424-2400
Fax: (360) 424-2418
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA10004220 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10004220 | Washington |
Profile Details
| NPI number | 1538196134 |
|---|---|
| LBN Legal business name | Clark, Alan W |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Aug 14th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538196134 | NPPES |
| Washington | Other | 0164819 | L&I |
| Washington | Other | 263660 | L&I |
| Washington | MEDICAID | 8406258 | L&I |
Popular Providers
-
Carnes, Larry David
1400 E. Kincaid Street , Mount Vernon WA 98274-4127 -
Irwin, Megan M.
2320 Freeway Dr , Mount Vernon WA 98273-5445 -
Rogers, Robert James
1500 Continental Pl , Mount Vernon WA 98273-4105 -
Weinrich, Raymond William
307 S 13Th St Ste 300 , Mount Vernon WA 98274-4100 -
Mclaughlin, Todd L.
307 S. 13Th Street Suite 300, Mount Vernon WA 98274 -
Lessard, Robert R.
307 S. 13Th Street Suite 300, Mount Vernon WA 98274 -
O'Neill, Kathleen Mary
2320 Freeway Dr , Mount Vernon WA 98273-5445 -
Shapley, Marcy A
2116 E Section St , Mount Vernon WA 98274-9124