NPI Lookup

NPI Lookup from the NPI Registry — National Provider Identifier Database

Dr AMY C CLARK, DO – NPI #1649595174
General Practice


Contact Information

Dr AMY C CLARK, DO
715 N BEAVER ST
FLAGSTAFF, AZ86001-3141
 Phone: 928-774-7345
 Fax:
 Website:
 

Taxonomy / Specialty

Taxonomy Code

General Practice

208D00000X
Indicates primary specialty
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NPI Information for Dr AMY C CLARK · (Female)

NPI Number 1649595174
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/26/2010
Last updated 09/24/2013 - More than a year ago
Sole proprietor 1 No
Identifiers
AZ License # 006234
CA License # 20A12388
MI License # 5101018785
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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