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CORNELIUS CLARK JR.
NPI 1548805880
Technician in Gary, IN

Active since November 11, 2019
1100 W 6TH AVE, GARY, IN 46402(219) 885-4264 Get Directions Write a Review

NPPES record last updated: November 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cornelius Clark Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORNELIUS CLARK JR. (NPI 1548805880) is an individual technician in Gary, Indiana and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1548805880
Entity TypeIndividualMale
Primary Taxonomy374700000X
Provider Legal NameCORNELIUS CLARK JR.
Location Address1100 W 6TH AVEGary, IN 46402-1711
Mailing Address1100 W 6th AveGary, IN 46402-1711
Phone(219) 885-4264
Sole ProprietorNo
Enumeration DateNovember 11, 2019
✔ NPI 1548805880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnicianNursing Service Related Providers
Taxonomy Code374700000X
Definition
(1) A person with specialized training in a narrow field of expertise whose occupation requires training and is skilled in specific technical processes and procedures. (2) An individual having special skill or practical knowledge in an area, such as operation and maintenance of equipment or performance of laboratory procedures involving biochemical analyses. Special technical qualifications are normally required, though an increasing number or technicians also possess university degrees in science, and occasionally doctorate degrees. The distinction between technician and technologist in the health care field is not always clear.
1100 W 6TH AVE, Gary, IN 46402
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LARESSE HARRIS APRN, FNP-C
Nurse Practitioner (Family)
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 885-4264
DAWN RANDLE
Behavior Technician
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 885-4264
RESEDA STURDIVANT
Technician, Other
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 885-4264
LYTINA NICOLE BARNETT
Social Worker
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 885-4264
JEWEL YVETTA JONES
Technician (Attendant Care Provider)
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 885-4264
DIANEA' LYNN MCINTOSH
Behavior Analyst
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 885-4264
MARSHA CLARK RN
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 240-8615
SHANELL LITHRESE HIGHTOWER
Counselor
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 885-4264

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cornelius Clark's NPI number?

The NPI number for Cornelius Clark is 1548805880. It was assigned to this individual provider in the NPPES registry on November 11, 2019.

Where is Cornelius Clark located?

Cornelius Clark practices at 1100 W 6th Ave, Gary, IN 46402. The listed phone number is (219) 885-4264.

What is Cornelius Clark's specialty?

The primary specialty registered for this NPI is Technician with taxonomy code 374700000X.

When was this NPI record last updated?

The NPPES record for Cornelius Clark was last updated on November 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.