Clark, Cristina M
Clark, Cristina M is an individual health care provider with primary practice located at 105 Skyline Dr , Russellville AR 72801-3363. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Clark, Cristina M can be contacted via phone (479) 968-2345.Contact Information
Primary practice address
105 Skyline Dr
Russellville AR 72801-3363
Phone: (479) 968-2345
Fax: (479) 890-7125
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | E-7931 | Arkansas |
Profile Details
| NPI number | 1588807135 |
|---|---|
| LBN Legal business name | Clark, Cristina M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2009 |
| Last updated | Feb 25th, 2015 - about 11 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 | 1588807135 | NPPES |
| Arkansas | MEDICAID | 197270001 |
Popular Providers
-
Cloud, Joe
101 Skyline Dr , Russellville AR 72801-3363 -
Nevin, Philip C
335 Parrish St , Canandaigua NY 14424-1728 -
Nelson, David Gregory
105 Skyline Dr , Russellville AR 72801-3363 -
Sosebee, William Scott
105 Skyline Dr , Russellville AR 72801-3363 -
Callaway, Jody Carlton
105 Skyline Dr , Russellville AR 72801-3363 -
Waite, Bruce Kevin
1000 First Dr Nw , Austin MN 55912-2941 -
Chatterjee, Suzanna
2500 W Main St , Russellville AR 72801-2533 -
Parry, Samuel Isaiah
3400 Spruce St , Philadelphia PA 19104-4238