Clarke, James S

Clarke, James S is an individual health care provider with primary practice located at 624 Hospital Dr , Mountain Home AR 72653-2955. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Clarke, James S can be contacted via phone (870) 424-1000.

Contact Information

Primary practice address
624 Hospital Dr Mountain Home AR 72653-2955
Phone: (870) 424-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X C5041 Arkansas

Profile Details

NPI number 1063486769
LBN Legal business name Clarke, James S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Jul 13th, 2009 - about 17 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 1063486769 NPPES
Arkansas MEDICAID 101028001
Arkansas Other 770079501

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