Clark, James M

Clark, James M is an individual health care provider with primary practice located at 700 S Main St , Moscow ID 83843. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Clark, James M can be contacted via phone (208) 882-4511.

Contact Information

Primary practice address
700 S Main St Moscow ID 83843
Phone: (208) 882-4511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OP00001738 Washington
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X O-272 Idaho

Profile Details

NPI number 1578523577
LBN Legal business name Clark, James M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Apr 16th, 2019 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578523577 NPPES
Idaho MEDICAID 1578523577
Idaho MEDICAID 806111700
Idaho MEDICAID 1578523577
Idaho MEDICAID 1578523577

Popular Providers