Clack, William Pearson

Clack, William Pearson is an individual health care provider with primary practice located at 2001 Webber St , Sarasota FL 34239-5288. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Clack, William Pearson can be contacted via phone (941) 362-8900.

Contact Information

Primary practice address
2001 Webber St Sarasota FL 34239-5288
Fax: (941) 362-8987
Website:

Health care specialties

Profile Details

NPI number 1669471744
LBN Legal business name Clack, William Pearson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Feb 4th, 2010 - about 14 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 1669471744 NPPES
Florida MEDICAID 372519700

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