Eggleston-Clark, Valenica

Eggleston-Clark, Valenica is an individual health care provider with primary practice located at 1107A Brookdale St , Martinsville VA 24112-4501. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Eggleston-Clark, Valenica can be contacted via phone (276) 670-3300.

Contact Information

Primary practice address
1107A Brookdale St Martinsville VA 24112-4501
Phone: (276) 670-3300
Fax: (276) 634-0379
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 129166 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101243377 Virginia

Profile Details

NPI number 1316069933
LBN Legal business name Eggleston-Clark, Valenica
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2007
Last updated Aug 11th, 2011 - about 15 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 1316069933 NPPES
Virginia MEDICAID 1316069933

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