John R Clark in Oswego - Licensed Practical Nurse
John R Clark - NPI 1548485097
John R Clark is a Licensed Practical Nurse in Oswego, New York. John R Clark practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for John R Clark is 1548485097. The last update date is 2007-07-09.
John R Clark's current location address is 64 E Mohawk St, Oswego, New York. You can contact this provider via phone number 3153422864. The mailing address for John R Clark is 64 E Mohawk St, Oswego, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John R Clark |
|---|---|
| Address | 64 E Mohawk St, Oswego, New York |
| Phone Number | 3153422864 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1548485097 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 64 E Mohawk St |
|---|---|
| City | Oswego |
| State | New York (NY) |
| Post Code | 131262725 |
| Phone Number | 3153422864 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 210182-1 |
|
Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1217867 | NY | -- |
Post Comment/ Review Below
What is the unique identification code assigned to John R Clark by the Centers for Medicare & Medicaid Services?
The John R Clark has been issued the NPI (National Provider Identifier) 1548485097. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where John R Clark is physically located?
The John R Clark is physically situated at the following address: 64 E Mohawk St, Oswego, NY, 131262725.
What is John R Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for John R Clark is Licensed Practical Nurse, and the corresponding taxonomy classification code for this specialized field is 164W00000X.
When was the John R Clark's 1548485097 issued?
The John R Clark's 1548485097 was issued on 2007-04-17.
When was the information related to John R Clark most recently updated or refreshed?
The details pertaining to the John R Clark, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.