Provider Demographics
NPI:1891744975
Name:CLARE, DAVID JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JOHN
Last Name:CLARE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:575 S 70TH
Mailing Address - Street 2:STE 200, NEBRASKA ORTHOPAEDIC AND SPORTS MEDICINE PC
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2471
Mailing Address - Country:US
Mailing Address - Phone:402-488-3322
Mailing Address - Fax:402-488-1172
Practice Address - Street 1:575 S 70TH
Practice Address - Street 2:STE 200, NEBRASKA ORTHOPAEDIC AND SPORTS MEDICINE PC
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2471
Practice Address - Country:US
Practice Address - Phone:402-488-3322
Practice Address - Fax:402-488-1172
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE212419207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47070309913Medicaid
NE47070309913Medicaid
NE273911CLMedicare PIN