Active NPIIndividual providerSole proprietor

Joshua Clark, NSCA-CPT

Student in an Organized Health Care Education/Training Program in Watertown, Massachusetts

NPI Number1013451095
Practice location
170 School St, Watertown, MA 02472-4149
Fax
—
Last updated
December 11, 2016

Joshua Clark is a Student in an Organized Health Care Education/Training Program based in Watertown, MA. Joshua Clark practices in Watertown, MA and has the professional credentials of NSCA-CPT. The NPI Number for Joshua Clark is 1013451095 and holds a License No. S62236208 (MA). The current practice location address for Joshua Clark is 170 School St, Watertown, MA 02472-4149 and can be reached out via phone at 774-279-1044.

Provider Profile Details

NPI Number
1013451095
Provider Name
Joshua Clark
Credential
NSCA-CPT
Provider Entity Type
Individual
Gender
Male
Address
170 School St, Watertown, MA 02472-4149
Phone Number
774-279-1044
Sole Proprietor
Yes
Provider Enumeration Date
December 11, 2016
Last Update Date
December 11, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
170 School St
Watertown, MA 02472-4149
Zip
02472-4149
Phone Number
774-279-1044
Watertown, MA 02472Get directions →

Provider Business Mailing Address Details

Address
170 School St
Watertown, MA 02472-4149
City
Watertown
State
MA
Zip
02472-4149
Phone Number
774-279-1044

License Information

License Number (1)
S62236208
License State (1)
MA
License Number (2)
S62236208
License State (2)
MA

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Joshua Clark, NSCA-CPT?

The NPI number of Joshua Clark, NSCA-CPT is 1013451095. It was assigned on December 11, 2016 and is currently active in the NPPES registry.

What is the specialty of Joshua Clark, NSCA-CPT?

Joshua Clark, NSCA-CPT is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in MA under license number S62236208.

Where does Joshua Clark, NSCA-CPT practice?

The practice location is 170 School St, Watertown, MA 02472-4149. The office can be reached at 774-279-1044 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013451095 directly on the NPPES registry website.

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