Cornelius Clark Jr.
Technician · Gary, IN
NPI number
1548805880
Practice location
1100 W 6TH AveGary, IN 46402-1711
- Phone
- (219) 885-4264
NPI record
- NPI
- 1548805880
- Entity type
- Individual (Type 1)
- Enumeration date
- November 11, 2019
- Last updated
- November 11, 2019
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Technician Primary | 374700000X |
— | — |
About Cornelius Clark
Cornelius Clark Jr. is a healthcare provider registered in the NPI registry with the primary taxonomy Technician (code 374700000X). The practice location is 1100 W 6TH Ave, Gary, IN 46402-1711. The NPI number 1548805880 was assigned on November 11, 2019 and the record was last updated on November 11, 2019.
Frequently asked questions
What is the NPI number of Cornelius Clark Jr.?
The NPI number is 1548805880.
What is the phone number of Cornelius Clark?
The phone number listed for the practice location is (219) 885-4264.
Where is Cornelius Clark located?
1100 W 6TH Ave, Gary, IN 46402-1711.
What is the taxonomy code for Cornelius Clark?
The primary taxonomy code is 374700000X – Technician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Technician providers in Gary
- Alisha Patrice Gunn1100 W 6TH Ave
- John Marshall4747 W 24TH Ave