Dr. Edward C Clark
Nephrologist
311 W 24th St Suite 402
Erie
, Pennsylvania 16502-2665
Dr. Edward C Clark
Nephrologist
311 W 24th St Suite 402
Erie
, Pennsylvania 16502-2665
(814) 456-4676
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About
Features
Specialties
- Nephrologist
Languages spoken
- English
Location
First Address
- Dr. Edward C Clark
- 311 W 24th St Suite 402
- Erie, PA
- Zip : 16502-2665
- Fax : (814) 456-4676
- Phone : (814) 453-6687
Second Address
- Dr. Edward C Clark
- 311 W 24th St Suite 402
- Erie, PA
- Zip : 16502-2665
- Fax : (814) 456-4676
- Phone : (814) 453-6687
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RN0300X | Nephrologist | MD055901L | PA |
National Provider Identifier
| NPI | 1013917814 |
|---|---|
| Provider Name | Dr. Edward C Clark |
| First Address | Erie, PA 16502-2665 |
| Second Address | Erie, PA 16502-2665 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/07/2005 |
| Last Update Date | 13/11/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0015345390001 | (05) | PA |
| 208292 | UPMC (01) | PA |
| 390004949 | MEDICARE PALMETTO (01) | PA |
| 776463 | HIGHMARK PA BS (01) | PA |
| E41586 | (02) | PR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.