Clark, Jonathan R

Clark, Jonathan R is an sole proprietor health care provider with primary practice located at 105 Wall St , Poteau OK 74953-4433. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Clark, Jonathan R can be contacted via phone (918) 635-3400.

Contact Information

Primary practice address
105 Wall St Poteau OK 74953-4433
Phone: (918) 635-3400
Fax: (918) 635-3394
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2355 Oklahoma

Profile Details

NPI number 1962477216
LBN Legal business name Clark, Jonathan R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2006
Last updated Sep 14th, 2007 - about 18 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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