Summers, Clarke

Summers, Clarke is an individual health care provider with primary practice located at 237 26Th St , Ogden UT 84401-3105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Summers, Clarke can be contacted via phone (801) 625-3605.

Contact Information

Primary practice address
237 26Th St Ogden UT 84401-3105
Phone: (801) 625-3605
Fax: (801) 625-3615
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 1630391205 Utah
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 1630398905 Utah

Profile Details

NPI number 1649201344
LBN Legal business name Summers, Clarke
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jul 8th, 2007 - about 19 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 1649201344 NPPES
Utah MEDICAID 876000308007

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