- Practice location
- 99 Campus Ave, Suite 303, Lewiston, ME 04240-6045
- Phone
- 207-782-5424
- Fax
- 207-782-1136
- Last updated
- February 15, 2012
Justin Clark is a Surgery based in Lewiston, ME. Justin Clark practices in Lewiston, ME and has the professional credentials of DO. The NPI Number for Justin Clark is 1962480459 and holds a License No. 215216 (MA). The current practice location address for Justin Clark is 99 Campus Ave, Suite 303, Lewiston, ME 04240-6045 and can be reached out via phone at 207-782-5424 and via fax at 207-782-1136.
Provider Profile Details
- NPI Number
- 1962480459
- Provider Name
- Justin Clark
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 99 Campus Ave, Suite 303, Lewiston, ME 04240-6045
- Phone Number
- 207-782-5424
- Fax Number
- 207-782-1136
- Primary Taxonomy
- Surgery · 208600000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 4, 2006
- Last Update Date
- February 15, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 99 Campus Ave
Suite 303
Lewiston, ME 04240-6045 - City
- Lewiston
- State
- Maine
- Zip
- 04240-6045
- Phone Number
- 207-782-5424
- Fax Number
- 207-782-1136
Provider Business Mailing Address Details
- Address
- Po Box 1638
Albany, NY 12201-1638 - City
- Albany
- State
- NY
- Zip
- 12201-1638
- Phone Number
- 207-777-4111
- Fax Number
- 207-783-6660
License Information
- License Number
- 215216
- License State
- MA
- Taxonomy
- Surgery · 208600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Surgery providers near Lewiston, ME
View all Surgery providers in Lewiston →Frequently Asked Questions
What is the NPI number of Dr. Justin Clark, DO?
The NPI number of Dr. Justin Clark, DO is 1962480459. It was assigned on January 4, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Justin Clark, DO?
Dr. Justin Clark, DO is registered under the primary taxonomy Surgery (code 208600000X), licensed in MA under license number 215216.
Where does Dr. Justin Clark, DO practice?
The practice location is 99 Campus Ave, Suite 303, Lewiston, ME 04240-6045. The office can be reached at 207-782-5424 (phone) or 207-782-1136 (fax).
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 1962480459 directly on the NPPES registry website.