Tarp, Clarence Dallas

Tarp, Clarence Dallas is an individual health care provider with primary practice located at 515 S 7Th St , Mcalester OK 74501-5915. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Tarp, Clarence Dallas can be contacted via phone (870) 918-4460.

Contact Information

Primary practice address
515 S 7Th St Mcalester OK 74501-5915
Phone: (870) 918-4460
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X COO447 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R28256 Arkansas

Profile Details

NPI number 1063463362
LBN Legal business name Tarp, Clarence Dallas
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated May 22nd, 2013 - about 13 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 1063463362 NPPES
Alaska MEDICAID 103674701

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