Clark, Jason M

Clark, Jason M is an individual health care provider with primary practice located at 101 Conley Rd , Columbia MO 65201-6465. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Clark, Jason M can be contacted via phone (573) 875-1126.

Contact Information

Primary practice address
101 Conley Rd Columbia MO 65201-6465
Phone: (573) 875-1126
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2012021505 Missouri

Profile Details

NPI number 1699024695
LBN Legal business name Clark, Jason M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2012
Last updated Sep 5th, 2012 - about 14 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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