Gregory Scott Clark in Bloomington - Clinical
Gregory Scott Clark - NPI 1568447100
Gregory Scott Clark is a Clinical in Bloomington, Indiana. Gregory Scott Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gregory Scott Clark is 1568447100. The last update date is 2009-04-29.
Gregory Scott Clark's current location address is 645 S Rogers St, Bloomington, Indiana. You can contact this provider via phone number 8123391691 and fax number 8123378109. The mailing address for Gregory Scott Clark is 645 S Rogers St, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Scott Clark |
|---|---|
| Address | 645 S Rogers St, Bloomington, Indiana |
| Phone Number | 8123391691 |
| Fax Number | 8123378109 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1568447100 |
|---|---|
| Provider Enumeration Date | 2005-12-07 |
| Last Updated Date | 2009-04-29 |
Provider Mailing Address Detail
| Address | 645 S Rogers St |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474032353 |
| Phone Number | 8123391691 |
| Fax Number | 8123378109 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34000010A |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Gregory Scott Clark by the Centers for Medicare & Medicaid Services?
The Gregory Scott Clark has been issued the NPI (National Provider Identifier) 1568447100, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Gregory Scott Clark?
The Gregory Scott Clark is situated at 645 S Rogers St, in the city of Bloomington, state of IN, with the zip code 474032353.
What is Gregory Scott Clark's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gregory Scott Clark is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Gregory Scott Clark receive its 1568447100 assignment from the Centers for Medicare & Medicaid Services?
The Gregory Scott Clark was assigned its 1568447100 by the Centers for Medicare & Medicaid Services on 2005-12-07.
When was the Gregory Scott Clark's information last updated?
The Gregory Scott Clark's information was last updated on 2009-04-29.