John E Clark in Baton Rouge - Specialist

John E Clark - NPI 1881736593

John E Clark is a Specialist in Baton Rouge, Louisiana. John E Clark practices all healthcare services and medical treatments related to Specialist. The NPI Number for John E Clark is 1881736593. The last update date is 2009-05-18.

John E Clark's current location address is Po Box 84358, Baton Rouge, Louisiana. You can contact this provider via phone number 2257662311 and fax number 2257677134. The mailing address for John E Clark is Po Box 84358, Baton Rouge, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name John E Clark
Address Po Box 84358, Baton Rouge, Louisiana
Phone Number 2257662311
Fax Number 2257677134
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1881736593
Provider Enumeration Date 2007-02-12
Last Updated Date 2009-05-18

Provider Mailing Address Detail

Address Po Box 84358
City Baton Rouge
State Louisiana (LA)
Post Code 708844358
Phone Number 2257662311
Fax Number 2257677134

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 08015R
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1388483 LA --

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FAQs about John E Clark

What is the unique provider identifier assigned to John E Clark?

The John E Clark has been issued the NPI (National Provider Identifier) 1881736593 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the John E Clark's physical address?

The John E Clark is physically located at Po Box 84358, in the city of Baton Rouge, LA, with the postal code 708844358.

What is John E 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 E Clark is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.

On what date did the John E Clark receive the assignment of its 1881736593 from the Centers for Medicare & Medicaid Services?

The John E Clark was issued its 1881736593 by the Centers for Medicare & Medicaid Services on 2007-02-12.

As of what date were the details related to John E Clark most recently updated or revised?

The information pertaining to John E Clark, including its address, specialty, and other relevant details, was last updated or revised on 2009-05-18.

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