CHRISTOPHER JAMES CLARK


Address: 2390 W Congress St # 2, Lafayette, LA 70506-4205
Phone: 3372616662

CHRISTOPHER JAMES CLARK (NPI# 1194286955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194286955
Entity Type Individual
Full Name CHRISTOPHER JAMES CLARK
Practice Address 2390 W Congress St # 2
Lafayette
LA 70506-4205
Mailing Address 201 Princeton Woods Loop # 2
Lafayette
LA 70508-6601
Practice Telephone 3372616662
Mailing Telephone 3373444528
Enumeration Date 2019-03-26
Last Update Date 2019-03-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers CHRISTOPHER CLARK

NPI Name Taxonomy Address Enumeration
1801383351 Christopher Clark Case Management 43a Richfield Rd, Upper Darby, PA 19082-2517 2018-04-20
1285088385 Christopher Clark Occupational Therapist 101 Applied Bank Blvd Ste D4, Glen Mills, PA 19342 2016-04-15
1912322694 Christopher W Clark Military Health Care Provider G544 C Street, Camp Lejuene, NC 28542 2014-03-04
1144657248 Christopher Alex Clark Counselor 900 Corbitt Dr, Wilmore, KY 40390-1096 2013-10-03
1427480490 Christopher James Clark Counselor 2817 E 97th Pl Apt 1506, Tulsa, OK 74137-7334 2013-08-01
1912341892 Christopher Michael Clark Otolaryngology 48 Medical Park Dr E Ste 153, Birmingham, AL 35235-3459 2013-04-23
1992053474 Christopher Tad Clark Counselor 1471 Dewar Dr Ste 204, Rock Springs, WY 82901-5826 2012-08-15
1215257217 Christopher David Clark Physical Medicine & Rehabilitation 1165 Imperial Dr Ste 103, Hagerstown, MD 21740-6555 2010-06-02
1497983332 Christopher Lee Clark Military Health Care Provider 5179 Malmstrom Ave, Nellis Afb, NV 89191-6126 2009-06-30
1992922454 Christopher B Clark Dentist 28321 Kensington Ln, Perrysburg, OH 43551-4164 2007-04-19

Office Location

Street Address 2390 W CONGRESS ST # 2
City LAFAYETTE
State LA
Zip Code 70506-4205

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417421447 Maranda Washington Student in an Organized Health Care Education/Training Program 202 Reinhardt Drive, Lafayette, LA 70506 2019-01-12
1447742473 Glenda Gravouilla Poulan Driver 330 Guilbeau Rd, Lafayette, LA 70506 2018-06-05
1194215905 Angelica Plumbar Case Manager/Care Coordinator 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 2018-05-16
1801394820 Acadiana Ambulatory Health Care Services Non-Pharmacy Dispensing Site 207 Westmark Blvd., Lafayette, LA 70506 2018-01-24
1578070041 Kimberly Lois Robinson Counselor 203 Pinto St, Lafayette, LA 70506 2018-01-05
1558890814 Shanece Marie Solomon Speech-Language Pathologist 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 2017-06-08
1225565625 Keena Lewis Case Manager/Care Coordinator 121 Kohen Luke Dr, Lafayette, LA 70506 2017-05-16
1326571498 Natasha Deville Community/Behavioral Health 1408 W Willow St 162, Lafayette, LA 70506 2017-04-06
1952846826 Mia D Arthur Behavioral Analyst 511 Monarch Dr, Lafayette, LA 70506 2016-12-30
1265983340 Eric Prince Specialist/Technologist 202 Reinhardt Dr., Lafayette, LA 70506 2016-10-24
Find all providers in zip 70506

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831726082 Alyse Meaux Student in an Organized Health Care Education/Training Program 99 Wentworth Blvd, Lafayette, LA 70508-4862 2020-03-26
1780210682 Katelyn Petitfils Joubert Student in an Organized Health Care Education/Training Program 112 Soho Cir, Lafayette, LA 70508-4200 2020-03-23
1568098911 Nathan Fletcher Student in an Organized Health Care Education/Training Program 3366 Mt Diablo Blvd # B404, Lafayette, CA 94549-4028 2020-03-18
1639711864 Martina Christina Holzach Student in an Organized Health Care Education/Training Program 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 2019-10-09
1841759099 Jeremy White Student in an Organized Health Care Education/Training Program 109 Adonis Dr, Lafayette, LA 70506-5402 2019-03-18
1225597446 Kelsey Doguet Student in an Organized Health Care Education/Training Program 109 Saint Michael St, Lafayette, LA 70506-4743 2019-03-18
1841755824 Madison Tilley Student in an Organized Health Care Education/Training Program 3661 Stonegate Ct, Lafayette, IN 47909-7212 2019-02-05
1114491685 Mallory Mancuso Student in an Organized Health Care Education/Training Program 110 Lana Dr, Lafayette, LA 70503-4505 2019-01-17
1417421447 Maranda Washington Student in an Organized Health Care Education/Training Program 202 Reinhardt Drive, Lafayette, LA 70506 2019-01-12
1588160451 Maya Appley Student in an Organized Health Care Education/Training Program 323 Beverly Dr, Lafayette, LA 70503-3109 2018-04-01
Find all providers in LAFAYETTE

Competitor

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City LAFAYETTE
Zip Code 70506

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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