Kramer, Clark
Kramer, Clark is an individual health care provider with primary practice located at 300 W 80Th Pl , Merrillville IN 46410-5456. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kramer, Clark can be contacted via phone (219) 736-1400.Contact Information
Primary practice address
300 W 80Th Pl
Merrillville IN 46410-5456
Phone: (219) 736-1400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01028393A | Indiana |
Profile Details
| NPI number | 1962403436 |
|---|---|
| LBN Legal business name | Kramer, Clark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Mar 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962403436 | NPPES |
| Indiana | MEDICAID | 100316580 |
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