Clark, Heather

Clark, Heather is an individual health care provider with primary practice located at 9815 Main St Ste 208 , Damascus MD 20872. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Clark, Heather can be contacted via phone (301) 253-4004.

Contact Information

Primary practice address
9815 Main St Ste 208 Damascus MD 20872
Phone: (301) 253-4004
Fax: (301) 253-3391
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C0005635 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C0005635 Maryland

Profile Details

NPI number 1972900520
LBN Legal business name Clark, Heather
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2014
Last updated Jul 11th, 2019 - about 6 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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