Clark, Catherine Leah
Clark, Catherine Leah is an individual health care provider with primary practice located at 3700 Fettler Park Dumfries Health Center, Dumfries VA 22025. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Clark, Catherine Leah can be contacted via phone (703) 441-7500.Contact Information
Primary practice address
3700 Fettler Park Dumfries Health Center
Dumfries VA 22025
Phone: (703) 441-7500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101029558 | Virginia |
Profile Details
| NPI number | 1861458267 |
|---|---|
| LBN Legal business name | Clark, Catherine Leah |
| Credentials | VA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Apr 3rd, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861458267 | NPPES |
| Virginia | Other | 0101029558 | STATE LICENSE |
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