Clark, Beth
Clark, Beth is an individual health care provider with primary practice located at 101 Bodin Cir David Grant Medical Center, Travis Afb CA 94535-1809. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Clark, Beth can be contacted via phone (707) 423-7705.Contact Information
Primary practice address
101 Bodin Cir David Grant Medical Center
Travis Afb CA 94535-1809
Phone: (707) 423-7705
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD426998 | Pennsylvania |
Profile Details
| NPI number | 1801925557 |
|---|---|
| LBN Legal business name | Clark, Beth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 5th, 2007 |
| Last updated | May 24th, 2021 - about 5 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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