Clark, John
Clark, John is an individual health care provider with primary practice located at 52 N Tu Su Ln , Bishop CA 93514-8058. He recently has only one registered license in Nursing Service Providers / General Practice, which is considered as his primary health care specialty. Clark, John can be contacted via phone (760) 873-8461.Contact Information
Primary practice address
52 N Tu Su Ln
Bishop CA 93514-8058
Phone: (760) 873-8461
Fax: (760) 873-3530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / General Practice | 163WG0000X | RN629103 | California |
Profile Details
| NPI number | 1689728032 |
|---|---|
| LBN Legal business name | Clark, John |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689728032 | NPPES |
| California | Other | 1659433191 | ORGANIZATION NPI # |
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