Benjamin Jacob Clark CRNA

  • NPI 1407150055
According to our database, the NPI number for Benjamin Jacob Clark CRNA is 1407150055 and activated since 13 years ago. Benjamin Jacob Clark CRNA is an individual provider who specializes in Nurse Anesthetist, Certified Registered, and the primary practice location is 600 East Blvd, Elkhart, IN 46514. You can also contact Benjamin Jacob Clark CRNA via telephone number is (574) 523-3193. Provider NPI information was last updated on 12/22/2010.

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Overview of Benjamin Jacob Clark CRNA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 12/22/2010
  • Last updated: 12/22/2010

Primary Scrop of Practice

  • Taxonomy Code: 367500000X
  • Specialty: Nurse Anesthetist, Certified Registered
  • License Number: 28193318A
  • License State: IN

Provider Mailing Address

  • Address: 14660 Carrigan Ct
    Granger, IN 46530
  • Phone: 574-523-3193
  • Fax:

Provider Practice Location

  • Address: 600 East Blvd
    Elkhart, IN 46514
  • Phone: 574-523-3193
  • Fax:

Scope of Practice

  • Taxonomy Code: 367500000X
  • Specialty: Nurse Anesthetist, Certified Registered
  • License Number: 28193318A
  • License State: IN
  • Switch: Yes

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 Benjamin Jacob Clark CRNA?
  • A: The npi number for Benjamin Jacob Clark CRNA is 1407150055.
  • Q: What are Benjamin Jacob Clark CRNA's specialties?
  • A: Benjamin Jacob Clark CRNA's specialties are Nurse Anesthetist, Certified Registered and different specialities.
  • Q: What is the medical license for Benjamin Jacob Clark CRNA?
  • A: The medical license number for Benjamin Jacob Clark CRNA is 28193318A and issued in IN in USA.
  • Q: Where is Benjamin Jacob Clark CRNA practice location?
  • A: Benjamin Jacob Clark CRNA is practicing at 600 East Blvd, Elkhart, IN 46514.
  • Q: How to contact Benjamin Jacob Clark CRNA?
  • A: You can contact Benjamin Jacob Clark CRNA via 574-523-3193.
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