National Provider Identifier Database

THRUSH CLARK ALLERGISTS PLLC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

THRUSH & CLARK ALLERGISTS PLLC
3411A NOYES AVENUE SE
CHARLESTON, WV25304
Phone: 304-344-2459
Fax: 304-345-1336
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for THRUSH & CLARK ALLERGISTS PLLC

NPI Number 1225118946
Legal business name
LBN
THRUSH & CLARK ALLERGISTS PLLC
Authorized official JAMES CLARK - (MANAGING PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 10/17/2006
Last updated 10/29/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • WV License #: 11974
  • WV Medicaid: 3810006069

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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