Clark, Jeannine Avis

Clark, Jeannine Avis is an sole proprietor health care provider with primary practice located at 6915 Laurel Bowie Road Suite 301, Bowie MD 20715. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Clark, Jeannine Avis can be contacted via phone (301) 249-8838.

Contact Information

Primary practice address
6915 Laurel Bowie Road Suite 301 Bowie MD 20715
Phone: (301) 249-8838
Fax: (301) 249-5334
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0043862 Maryland

Profile Details

NPI number 1457389892
LBN Legal business name Clark, Jeannine Avis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2006
Last updated Jun 12th, 2023 - about 3 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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