Clark, Robin Nicole

Clark, Robin Nicole is an individual health care provider with primary practice located at 505 Parnassus Ave , San Francisco CA 94143. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Clark, Robin Nicole can be contacted via phone (415) 353-1238.

Contact Information

Primary practice address
505 Parnassus Ave San Francisco CA 94143
Phone: (415) 353-1238
Fax: (415) 353-1799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X P16346 California

Profile Details

NPI number 1063403483
LBN Legal business name Clark, Robin Nicole
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Aug 6th, 2023 - about 3 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 1063403483 NPPES
California Other OPA163460 BLUE SHIELD
California MEDICAID OPA163460 BLUE SHIELD

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