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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

ELIZABETH A NULL CLARK, MD
1020 E 2ND ST STE 100
CASPER, WY82601-2955
 Phone: 307-265-4343
 Fax: 307-234-6339
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology with Special Qualifications in Child Neurology

2084N0402X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for ELIZABETH A NULL CLARK · (Female)

NPI Number 1215064852
Credentials MD
Entity Individual
Enumeration date 02/28/2007
Last updated 07/07/2011 - About 5 years ago
Sole proprietor 1 No
Identifiers
WY License # TL # 1584
Hospital affiliation(s)
  • MARSHALL MEDICAL CENTER - (Critical Access)
    1080 NORTH ELLINGTON PARKWAY
    LEWISBURG, TN 37091
  • MAURY REGIONAL HOSPITAL - (Acute Care)
    1224 TROTWOOD AVE
    COLUMBIA, TN 38401
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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