Clark, Stephen Alexander

Clark, Stephen Alexander is an individual health care provider with primary practice located at 1850 State St , New Albany IN 47150-4990. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Clark, Stephen Alexander can be contacted via phone (812) 944-7701.

Contact Information

Primary practice address
1850 State St New Albany IN 47150-4990
Phone: (812) 944-7701
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 75000066A Indiana

Profile Details

NPI number 1609465772
LBN Legal business name Clark, Stephen Alexander
Credentials CAA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2021
Last updated Sep 22nd, 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 1609465772 NPPES
Indiana Other 75000066A MEDICAL LICENSING BOARD

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