Antonson, Clark W
Antonson, Clark W is an individual health care provider with primary practice located at 4545 R St , Lincoln NE 68503-3723. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Antonson, Clark W can be contacted via phone (402) 465-4545.Contact Information
Primary practice address
4545 R St
Lincoln NE 68503-3723
Phone: (402) 465-4545
Fax: (402) 465-3621
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 17282 | Nebraska |
Profile Details
| NPI number | 1831182757 |
|---|---|
| LBN Legal business name | Antonson, Clark W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Sep 18th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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