Mr David Allan Clark, LADC is a
Counselor - Addiction (substance Use Disorder) based in Page, Nebraska. Mr David Allan Clark is licensed to practice in Nebraska (license number 594) and his current practice location is
50196 872nd Rd, Page, Nebraska. He can be reached at his office (for appointments etc.) via phone at
(402) 338-5510.
NPI number for Mr David Allan Clark is 1275722365 and his current mailing address is 50196 872nd Rd, Page, Nebraska. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275722365.
Healthcare Provider's Profile
Full Name | Mr David Allan Clark |
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Gender | Male |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 50196 872nd Rd, Page, Nebraska |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275722365
- Provider Enumeration Date: 10/15/2007
- Last Update Date: 11/18/2008
Medical Identifiers
Medical identifiers for Mr David Allan Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275722365 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 594 (Nebraska) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr David Allan Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr David Allan Clark, LADC 50196 872nd Rd, Page, NE 68766-5539 Ph: (402) 338-5510 | Mr David Allan Clark, LADC 50196 872nd Rd, Page, NE 68766-5539 Ph: (402) 338-5510 |
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