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
Phone: (941) 362-8900
Fax: (941) 362-8987
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Forensic Pathology | 207ZF0201X | ME15752 | Florida |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | ME15752 | Florida |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669471744 | NPPES |
Florida | MEDICAID | 372519700 |
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