MR. CLARK DELONA PAGE P.A. NPI 1588308258

NPI Information

NPI: 1588308258
Provider Name: MR. CLARK DELONA PAGE, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
9697 SAINT CATHERINES DR # 300
PLEASANT PRAIRIE, WI
ZIP 53158
Phone: (262) 656-3338
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MR. Clark Delona Page, P.A. is a medical physician assistant in Pleasant Prairie, WI with 3 years of experience. MR. Clark Delona Page, P.A. NPI is 1588308258. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9697 SAINT CATHERINES DR # 300
PLEASANT PRAIRIE, WI
ZIP 53158-118
Phone: (262) 656-3338
Fax: (262) 656-3368

The NPI 1588308258 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/27/2022 and was last updated on 11/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	7708-23	WISCONSIN	Yes
2	363AM0700X	Physician Assistant	Medical	PA15731	TEXAS	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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