Clark, Samuel Jason

Clark, Samuel Jason is an sole proprietor health care provider with primary practice located at 1 Pinckney Blvd , Beaufort SC 29902-6122. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Independent Duty Corpsman, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Clark, Samuel Jason can be contacted via phone (843) 228-5600.

Contact Information

Primary practice address
1 Pinckney Blvd Beaufort SC 29902-6122
Phone: (843) 228-5600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-11081 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1161440

Profile Details

NPI number 1285983247
LBN Legal business name Clark, Samuel Jason
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2012
Last updated Oct 5th, 2021 - about 4 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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