Clark, Andrew

Clark, Andrew is an individual health care provider with primary practice located at 101 2Nd St , Lakewood NJ 08701-3324. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Clark, Andrew can be contacted via phone (732) 363-6656.

Contact Information

Primary practice address
101 2Nd St Lakewood NJ 08701-3324
Phone: (732) 363-6656
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ00783000 New Jersey

Profile Details

NPI number 1609382670
LBN Legal business name Clark, Andrew
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2017
Last updated Dec 28th, 2017 - about 9 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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