Baxter, Clarke William

Baxter, Clarke William is an individual health care provider with primary practice located at 45 Herrick Rd , Southwest Harbor ME 04679-4433. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Baxter, Clarke William can be contacted via phone (207) 244-5513.

Contact Information

Primary practice address
45 Herrick Rd Southwest Harbor ME 04679-4433
Fax: (207) 664-5515
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35053662 Ohio

Profile Details

NPI number 1487711909
LBN Legal business name Baxter, Clarke William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Dec 21st, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487711909 NPPES
Ohio MEDICAID 0687501

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