Joshua A Clark in Fort Smith - Student In An Organized Health Care Education/training Program

Joshua A Clark - NPI 1265632368

Joshua A Clark is a Student In An Organized Health Care Education/training Program in Fort Smith, Arkansas. Joshua A Clark practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Joshua A Clark is 1265632368. The last update date is 2022-08-08.

Joshua A Clark's current location address is 11808 Highway 71 S, Fort Smith, Arkansas. You can contact this provider via phone number 4794346140 and fax number 4794346144. The mailing address for Joshua A Clark is 11808 Highway 71 S, Fort Smith, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Joshua A Clark
Address 11808 Highway 71 S, Fort Smith, Arkansas
Phone Number 4794346140
Fax Number 4794346144
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1265632368
Provider Enumeration Date 2007-07-18
Last Updated Date 2022-08-08

Provider Mailing Address Detail

Address 11808 Highway 71 S
City Fort Smith
State Arkansas (AR)
Post Code 729169378
Phone Number 4794346140
Fax Number 4794346144

Provider's Primary Taxonomy Detail

Speciality Student In An Organized Health Care Education/training Program
Taxonomy 390200000X
Definition:
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200231900A OK --
440163301 AR ARKANSAS MEDICAID TEMP. R

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FAQs about Joshua A Clark

What is the unique 10-digit identification code issued to Joshua A Clark by the Centers for Medicare & Medicaid Services?

The Joshua A Clark has been assigned the NPI (National Provider Identifier) 1265632368 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Joshua A Clark is physically located?

The Joshua A Clark is physically situated at the following address: 11808 Highway 71 S, Fort Smith, AR, 729169378.

What is Joshua A Clark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Joshua A Clark is Student In An Organized Health Care Education/training Program, and the taxonomy code that classifies this field of practice is 390200000X.

On what date did the Joshua A Clark receive its 1265632368 assignment from the Centers for Medicare & Medicaid Services?

The Joshua A Clark was assigned its 1265632368 by the Centers for Medicare & Medicaid Services on 2007-07-18.

When was the Joshua A Clark's information last updated?

The Joshua A Clark's information was last updated on 2022-08-08.

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