National Provider Identifier Database

EDWIN A CLARK, DPM – NPI #1346213626
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

EDWIN A CLARK, DPM
1501 ALDERSGATE RD
LITTLE ROCK, AR72205-6611
Phone: 501-224-1501
Fax: 501-376-7065
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for EDWIN A CLARK

NPI Number 1346213626
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 02/08/2006
Last updated 07/07/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • AR License #: 89
  • AR Medicaid: 109956017
  • Other: 480017088 RR MEDICARE
  • AR Other: 56081 BCBS FEP
  • AR Other: 56081 BLUE ADVANTAGE
  • AR Other: 56081 BLUE CROSS SHIELD
  • AR Other: 56081 FIRST SOURCE PPO
  • AR Other: 56081 HEALTH ADVANTAGE
Hospital affiliation n/a

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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