Clark, Casey

Clark, Casey is an individual health care provider with primary practice located at 4300 Marketpointe Dr Ste 100 , Bloomington MN 55435-5435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Clark, Casey can be contacted via phone (952) 767-4574.

Contact Information

Primary practice address
4300 Marketpointe Dr Ste 100 Bloomington MN 55435-5435
Phone: (952) 767-4574
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 70463 Minnesota

Profile Details

NPI number 1841853694
LBN Legal business name Clark, Casey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2019
Last updated Jul 12th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841853694 NPPES
Minnesota Other 70463 MINNESOTA BOARD OF MEDICAL PRACTICE

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