Dr. Shannon Clark
Family Doctor Obstetrician
4860 Y St Suite 2500
Sacramento
, California 95817-2307
Dr. Shannon Clark
Family Doctor Obstetrician
4860 Y St Suite 2500
Sacramento
, California 95817-2307
(916) 734-6666
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About
Features
Specialties
- Family Doctor
- Obstetrician
Languages spoken
- English
Location
First Address
- Dr. Shannon Clark
- 4860 Y St Suite 2500
- Sacramento, CA
- Zip : 95817-2307
- Fax : (916) 734-6666
- Phone : (916) 734-8445
Second Address
- Dr. Shannon Clark
- 4860 Y St Suite 2500
- Sacramento, CA
- Zip : 95817-2307
- Fax : (916) 734-6666
- Phone : (916) 734-8445
Reviews
FAQs
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In what state does Dr. Shannon Clark practice in?
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Is Dr. Shannon Clark a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | A103021 | CA |
| N | 207VX0000X | Obstetrician | A103021 | CA |
National Provider Identifier
| NPI | 1295922912 |
|---|---|
| Provider Name | Dr. Shannon Clark |
| First Address | Sacramento, CA 95817-2307 |
| Second Address | Sacramento, CA 95817-2307 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/09/2007 |
| Last Update Date | 17/07/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00000 | MEDICAL (01) | CA |
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.