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Contact Information

CLARK BRITTAIN DO PC
642 S WALKER ST
BLOOMINGTON, IN47403-2158
 Phone: 812-331-9160
 Fax: 812-336-0277
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CLARK BRITTAIN DO PC

NPI Number 1215908827
LBN Legal business name CLARK BRITTAIN DO PC
Authorized official P. CLARK BRITTAIN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/31/2006
Last updated 10/18/2007 - About 19 years ago
Identifiers
IN Other 000000112969 ANTHEM BS
IN Other CJ4778 TRAVELERS MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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