Suzanne Clark, LPN is a
Licensed Practical Nurse based in Alvordton, Ohio. Suzanne Clark is licensed to practice in Ohio (license number PN.129253MIV) and her current practice location is
109 W Main St, Alvordton, Ohio. She can be reached at her office (for appointments etc.) via phone at
(419) 924-2029.
NPI number for Suzanne Clark is 1972051183 and her current mailing address is 109 W Main St, Alvordton, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972051183.
Provider's Profile
Full Name | Suzanne Clark |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 109 W Main St, Alvordton, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972051183
- Provider Enumeration Date: 09/16/2016
- Last Update Date: 09/16/2016
Medical Identifiers
Medical identifiers for Suzanne Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972051183 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | PN.129253MIV (Ohio) | Primary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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. Suzanne 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 |
Suzanne Clark, LPN 109 W Main St, Alvordton, OH 43501-9763 Ph: (419) 924-2029 | Suzanne Clark, LPN 109 W Main St, Alvordton, OH 43501-9763 Ph: (419) 924-2029 |
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