Clark, David Frederick
Clark, David Frederick is an sole proprietor health care provider with primary practice located at 12140 Nall Ave Suite 230, Overland Park KS 66209-2503. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Clark, David Frederick can be contacted via phone (913) 661-9448.Contact Information
Primary practice address
12140 Nall Ave Suite 230
Overland Park KS 66209-2503
Phone: (913) 661-9448
Fax: (913) 661-4688
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Ohio | |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 0436405 | Kansas |
Profile Details
| NPI number | 1629230479 |
|---|---|
| LBN Legal business name | Clark, David Frederick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 1st, 2008 |
| Last updated | Jun 12th, 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.
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