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
Fax: (260) 482-4442
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558523795 NPPES
Indiana Other 01069280A IN PHYSICIAN LICENSE

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