Clark, Selmer Meredith

Clark, Selmer Meredith is an sole proprietor health care provider with primary practice located at 201 E 3Rd Ave S , Cavalier ND 58220. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Clark, Selmer Meredith can be contacted via phone (701) 265-8315.

Contact Information

Primary practice address
201 E 3Rd Ave S Cavalier ND 58220
Phone: (701) 265-8315
Fax: (701) 265-8317
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 358 North Dakota

Profile Details

NPI number 1598941288
LBN Legal business name Clark, Selmer Meredith
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 14th, 2008
Last updated Jan 13th, 2010 - about 16 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 1598941288 NPPES
North Dakota MEDICAID 60162
North Dakota Other CLA800358
North Dakota Other 0677790001

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