Clark, Jason

Clark, Jason is an sole proprietor health care provider with primary practice located at 290 Big Run Rd , Lexington KY 40503-2903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Clark, Jason can be contacted via phone (859) 278-9513.

Contact Information

Primary practice address
290 Big Run Rd Lexington KY 40503-2903
Phone: (859) 278-9513
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 41626 Kentucky
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 01929 North Carolina

Profile Details

NPI number 1508033747
LBN Legal business name Clark, Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2008
Last updated Sep 10th, 2013 - about 13 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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