Clarke, Eric Peter

Clarke, Eric Peter is an individual health care provider with primary practice located at 2707 Citico Avenue , Chattanooga TN 37406-3402. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Clarke, Eric Peter can be contacted via phone (423) 624-8588.

Contact Information

Primary practice address
2707 Citico Avenue Chattanooga TN 37406-3402
Phone: (423) 624-8588
Fax: (423) 622-3069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 21142 Tennessee
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 032102 Georgia
Other Service Providers / Specialist 174400000X 29432 Alabama

Profile Details

NPI number 1023002466
LBN Legal business name Clarke, Eric Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Apr 5th, 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 1023002466 NPPES
Tennessee MEDICAID 3868282
Tennessee MEDICAID 00932159A

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