Clark, Natasha
Clark, Natasha is an individual health care provider with primary practice located at 24 Joliet St , Dyer IN 46311-1705. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Clark, Natasha can be contacted via phone (317) 322-5747.Contact Information
Primary practice address
24 Joliet St
Dyer IN 46311-1705
Phone: (317) 322-5747
Fax: (219) 864-2282
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 01079918A | Indiana |
Profile Details
| NPI number | 1356752398 |
|---|---|
| LBN Legal business name | Clark, Natasha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2014 |
| Last updated | Apr 17th, 2023 - about 2 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 | 1356752398 | NPPES |
| Indiana | MEDICAID | 300017254 |
Popular Providers
-
Manatt, George S
24 Joliet St , Dyer IN 46311-1705 -
Hristea, Hariclia Elena
24 Joliet St , Dyer IN 46311-1705 -
Deaton, Rodney James
24 Joliet St , Dyer IN 46311 -
Embar, Rama
24 Joliet St , Dyer IN 46311-1705 -
Yaylayan, Shahnour
24 Joliet St , Dyer IN 46311-1705 -
Manion, Maria
24 Joliet St , Dyer IN 46311-1705 -
Bohjwani, Mohen
24 Joliet St , Dyer IN 46311-1705 -
Meekins Moore, Diahann M
24 Joliet St , Dyer IN 46311-1705