Clark, John Robert

Clark, John Robert is an individual health care provider with primary practice located at 42 East Rowan Suite B , Spokane WA 99207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Clark, John Robert can be contacted via phone (509) 489-3879.

Contact Information

Primary practice address
42 East Rowan Suite B Spokane WA 99207
Phone: (509) 489-3879
Fax: (509) 484-1823
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD0016474 Washington

Profile Details

NPI number 1801962923
LBN Legal business name Clark, John Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801962923 NPPES
Other 0124325 L & I
MEDICAID 1105469 L & I

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