Nathaniel Clark P.A.

  • NPI 1063660074
According to our database, the NPI number for Nathaniel Clark P.A. is 1063660074 and activated since 15 years ago. Nathaniel Clark P.A. is an individual provider who specializes in Physician Assistant, and the primary practice location is 409 W Oak St, Carbondale, IL 62901. You can also contact Nathaniel Clark P.A. via telephone number is (618) 529-4455. Provider NPI information was last updated on 10/23/2020.

Recently Active NPIs

Overview of Nathaniel Clark P.A.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 09/03/2008
  • Last updated: 10/23/2020

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 085003278
  • License State: IL

Provider Mailing Address

  • Address: 409 W Oak St
    Carbondale, IL 62901
  • Phone: 618-529-4555
  • Fax: 618-351-1287

Provider Practice Location

  • Address: 409 W Oak St
    Carbondale, IL 62901
  • Phone: 618-529-4455
  • Fax: 618-351-1287

Scope of Practice

  • Taxonomy Code: 207RI0011X
  • Specialty: Interventional Cardiology
  • License Number: 085-003278
  • License State: IL
  • Switch: No

Legacy Identifiers

  • Provider Identifier: P00657126
  • Identifier Type: Other
  • Identifier State: IL
  • Issuer: RAILROAD MEDICARE

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Nathaniel Clark P.A.?
  • A: The npi number for Nathaniel Clark P.A. is 1063660074.
  • Q: What are Nathaniel Clark P.A.'s specialties?
  • A: Nathaniel Clark P.A.'s specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Nathaniel Clark P.A.?
  • A: The medical license number for Nathaniel Clark P.A. is 085003278 and issued in IL in USA.
  • Q: Where is Nathaniel Clark P.A. practice location?
  • A: Nathaniel Clark P.A. is practicing at 409 W Oak St, Carbondale, IL 62901.
  • Q: How to contact Nathaniel Clark P.A.?
  • A: You can contact Nathaniel Clark P.A. via 618-529-4455.