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Contact Information

AMY M CLARK, IDC
260 BARNES RD
SUFFOLK, VA23437
 Phone: 757-652-1981
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Independent Duty Corpsman

1710I1002X
Indicates primary specialty

NPI Profile & details for AMY M CLARK · (Female)

NPI # 1558707984
Status Active
Credentials IDC
Entity Individual
Enumeration date 05/13/2013
Last updated 05/13/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • Other 1710-1002X IDC
Hospital affiliation(s) Not Available
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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