Nathaniel Clark
Interventional Cardiology
409 W Oak St
Carbondale
, Illinois 62901-1464
Nathaniel Clark
Interventional Cardiology
409 W Oak St
Carbondale
, Illinois 62901-1464
(618) 351-1287
Write a Review Share Save Call
About
Features
Specialties
- Interventional Cardiology
Languages spoken
- English
Location
First Address
- Nathaniel Clark
- 409 W Oak St
- Carbondale, IL
- Zip : 62901-1464
- Fax : (618) 351-1287
- Phone : (618) 529-4555
Second Address
- Nathaniel Clark
- 409 W Oak St
- Carbondale, IL
- Zip : 62901-1464
- Fax : (618) 351-1287
- Phone : (618) 529-4455
Reviews
FAQs
Where did Nathaniel Clark attend graduate school?
Where did Nathaniel Clark do his residency?
Where did Nathaniel Clark do his fellowship?
Is Nathaniel Clark board certified?
In what state does Nathaniel Clark practice in?
Where is Nathaniel Clark ’s practice located?
What is Nathaniel Clark ’s gender?
Is Nathaniel Clark a sole practitioner?
Is Nathaniel Clark accepting new patients?
What languages does Nathaniel Clark speak?
Does Nathaniel Clark accept insurance?
Does Nathaniel Clark offers telemedicine?
What is Nathaniel Clark ’s professional license number?
What is Nathaniel Clark ’s NPI number?
Does Nathaniel Clark have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RI0011X | Interventional Cardiology | 085-003278 | IL |
National Provider Identifier
| NPI | 1063660074 |
|---|---|
| Provider Name | Nathaniel Clark |
| First Address | Carbondale, IL 62901-1464 |
| Second Address | Carbondale, IL 62901-1464 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/09/2008 |
| Last Update Date | 06/10/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| P00657126 | RAILROAD MEDICARE (01) | IL |
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.