Clark, Justin James

Clark, Justin James is an sole proprietor health care provider with primary practice located at 5955 Zeamer Ave , Jber AK 99506-3702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Clark, Justin James can be contacted via phone (907) 580-1243.

Contact Information

Primary practice address
5955 Zeamer Ave Jber AK 99506-3702
Phone: (907) 580-1243
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 7555 Alaska

Profile Details

NPI number 1215132410
LBN Legal business name Clark, Justin James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2007
Last updated Jun 30th, 2014 - about 12 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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