Clark, Seth
Clark, Seth is an sole proprietor health care provider with primary practice located at 200 Corliss St , Providence RI 02904. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Clark, Seth can be contacted via phone (401) 606-8530.Contact Information
Primary practice address
200 Corliss St
Providence RI 02904
Phone: (401) 606-8530
Fax: (401) 606-8549
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD15837 | Rhode Island |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | MD15837 | Rhode Island |
Profile Details
| NPI number | 1801208798 |
|---|---|
| LBN Legal business name | Clark, Seth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2014 |
| Last updated | May 13th, 2021 - about 5 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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