National Provider Identifier Database

JAN D CLARK, DMD – NPI #1497803803
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

JAN D CLARK, DMD
300 NO WILLSON
602F
BOZEMAN, MT59715
Phone: 406-586-5318
Fax: 406-586-1635
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for JAN D CLARK

NPI Number 1497803803
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 01/08/2007
Last updated 10/01/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • MT License #: 79
  • MT Medicaid: 0390091
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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