Clark, Alvin Walter

Clark, Alvin Walter is an individual health care provider with primary practice located at 2232 Gallatin Pike N , Madison TN 37115-2006. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Clark, Alvin Walter can be contacted via phone (615) 859-6216.

Contact Information

Primary practice address
2232 Gallatin Pike N Madison TN 37115-2006
Fax: (615) 859-6216
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X C-3772 Tennessee

Profile Details

NPI number 1336264670
LBN Legal business name Clark, Alvin Walter
Credentials Doctor of Public Health (DPH)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Jul 8th, 2007 - about 19 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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