Clark, Heather Michelle
Clark, Heather Michelle is an individual health care provider with primary practice located at 1316 E 7Th St , Auburn IN 46706-2538. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Clark, Heather Michelle can be contacted via phone (260) 373-4000.Contact Information
Primary practice address
1316 E 7Th St
Auburn IN 46706-2538
Phone: (260) 373-4000
Fax: (260) 482-4442
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 01069280A | Indiana |
Profile Details
| NPI number | 1558523795 |
|---|---|
| LBN Legal business name | Clark, Heather Michelle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2008 |
| Last updated | May 7th, 2024 - about 2 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 | 1558523795 | NPPES |
| Indiana | Other | 01069280A | IN PHYSICIAN LICENSE |
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