Clark, Allan B

Clark, Allan B is an individual health care provider with primary practice located at 111 County Road 11 Nw , Pine Island MN 55963-9756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Clark, Allan B can be contacted via phone (507) 356-4929.

Contact Information

Primary practice address
111 County Road 11 Nw Pine Island MN 55963-9756
Phone: (507) 356-4929
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 29995 Minnesota

Profile Details

NPI number 1053350371
LBN Legal business name Clark, Allan B
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Sep 14th, 2011 - about 15 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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