Schuh-Clark, Mary Theresa

Schuh-Clark, Mary Theresa is an individual health care provider with primary practice located at 795 E 2Nd St Ste 7 , Pomona CA 91766-2007. She recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Schuh-Clark, Mary Theresa can be contacted via phone (909) 706-3877.

Contact Information

Primary practice address
795 E 2Nd St Ste 7 Pomona CA 91766-2007
Phone: (909) 706-3877
Fax: (909) 706-3942
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X E5996 California
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E5996 California
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E5996 California

Profile Details

NPI number 1376549022
LBN Legal business name Schuh-Clark, Mary Theresa
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Jun 4th, 2024 - about 2 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 1376549022 NPPES
Vermont MEDICAID 1023310

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