Clark, Angela M

Clark, Angela M is an individual health care provider with primary practice located at 1121 Bellwest Blvd , Belleville WI 53508-9433. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Clark, Angela M can be contacted via phone (608) 424-3384.

Contact Information

Primary practice address
1121 Bellwest Blvd Belleville WI 53508-9433
Phone: (608) 424-3384
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1497 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1497-23 Wisconsin

Profile Details

NPI number 1235195835
LBN Legal business name Clark, Angela M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2006
Last updated Nov 8th, 2022 - about 3 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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