Clark, Rebecca Adair
Clark, Rebecca Adair is an individual health care provider with primary practice located at 3308 Tulane Ave , New Orleans LA 70119-7100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Clark, Rebecca Adair can be contacted via phone (504) 903-7302.Contact Information
Primary practice address
3308 Tulane Ave
New Orleans LA 70119-7100
Phone: (504) 903-7302
Fax: (504) 903-5313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | MD.018089 | Louisiana |
Profile Details
| NPI number | 1043219140 |
|---|---|
| LBN Legal business name | Clark, Rebecca Adair |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Feb 27th, 2020 - about 6 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 | 1043219140 | NPPES |
| Louisiana | MEDICAID | 1392847 | |
| Louisiana | MEDICAID | 00125805 |
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