JANICE P CLARK, DPM, Surgery, Foot & Ankle SEATTLE, WA

Contact Information

JANICE P CLARK, DPM

1660 S COLUMBIAN WAY
SEATTLE, WA 98108-1532

Phone: 206-716-5651
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Surgery, Foot & Ankle	213ES0103X	48	Podiatry
Foot and Ankle Surgery	207XX0004X	02	Physician/General Surgery

Indicates primary specialty

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NPI Profile & details for JANICE P CLARK · (Female)

NPI #	`1811168339`
Status	Active
Credentials	DPM (Doctor of Podiatric Medicine)
Entity	Individual
Enumeration date	03/13/2008
Last updated	07/21/2022 - About 4 years ago
Sole proprietor ¹	Yes
Identifiers	AZ License # 0689 GA License # POD001114 NM License # CL011 NY License # R57676 GA Medicaid 294861171A SC Medicaid GPD114 GA Other PAR AETNA GA Other 1289105 AMERIGROUP GA Other 52246038-001 BCBSGA GA Other 2009-07-20 CIGNA GA Other PAR-2009-07-20 GREAT WEST GA Other 2009-10-01 PSHP GA Other 20091544 SELECT HEALTH GA Other PAR-2009-08-28 TRICARE GA Other 2009-08-01 UNITED HEALTHCARE GA Other 519981 WELLCARE
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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JANICE P CLARK, DPM – NPI #1811168339Surgery, Foot & Ankle

Contact Information

Specialty

Surgery, Foot & Ankle

Foot and Ankle Surgery

NPI Profile & details for JANICE P CLARK · (Female)

Reviews for JANICE P CLARK

JANICE P CLARK, DPM – NPI #1811168339
Surgery, Foot & Ankle