Clark, Dellie H
Clark, Dellie H is an individual health care provider with primary practice located at 417 Mcmillan Rd , West Monroe LA 71291-5325. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Clark, Dellie H can be contacted via phone (318) 388-4030.Contact Information
Primary practice address
417 Mcmillan Rd
West Monroe LA 71291-5325
Phone: (318) 388-4030
Fax: (318) 324-3334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 011665 | Louisiana |
Profile Details
| NPI number | 1417950734 |
|---|---|
| LBN Legal business name | Clark, Dellie H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Apr 15th, 2010 - about 15 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 | 1417950734 | NPPES |
| Louisiana | MEDICAID | 1171611 |
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