Clark, Christopher Timothy

Clark, Christopher Timothy is an sole proprietor health care provider with primary practice located at 1924 Alcoa Hwy Department Of Pathology, Knoxville TN 37920-1511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Clark, Christopher Timothy can be contacted via phone (865) 305-8994.

Contact Information

Primary practice address
1924 Alcoa Hwy Department Of Pathology Knoxville TN 37920-1511
Phone: (865) 305-8994
Fax: (865) 305-6866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 35.072415 Ohio
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 38281-020 Wisconsin
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 44055 Tennessee

Profile Details

NPI number 1801976105
LBN Legal business name Clark, Christopher Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Sep 28th, 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 1801976105 NPPES
Ohio Other SY245065068 TRICARE
Ohio Other 000000180176 TRICARE
Ohio MEDICAID 2042373 TRICARE
Ohio Other 2042373 TRICARE
Ohio Other 340714618011 TRICARE
Ohio Other 4203908 TRICARE
Ohio Other 000000180176 TRICARE
Ohio MEDICAID 1510737 TRICARE
Ohio Other P00747161 TRICARE

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