Clark, Allen Richard

Clark, Allen Richard is an individual health care provider with primary practice located at 121 Medical Center Dr Ste 2700 , Brunswick ME 04011-2669. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Clark, Allen Richard can be contacted via phone (207) 721-8700.

Contact Information

Primary practice address
121 Medical Center Dr Ste 2700 Brunswick ME 04011-2669
Phone: (207) 721-8700
Fax: (207) 536-6719
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X MD29198 Maine
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD29198 Maine

Profile Details

NPI number 1891013967
LBN Legal business name Clark, Allen Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2010
Last updated Sep 17th, 2026 - about last week

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 1891013967 NPPES
Indiana Other 01074111A LICENSE
Indiana MEDICAID 201233020 LICENSE

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