Clark, Donald Godfrey
Clark, Donald Godfrey is an sole proprietor health care provider with primary practice located at 29521 Ford Rd , Garden City MI 48135. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Clark, Donald Godfrey can be contacted via phone (734) 367-1205.Contact Information
Primary practice address
29521 Ford Rd
Garden City MI 48135
Phone: (734) 367-1205
Fax: (734) 367-1214
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 5601001802 | Michigan |
Profile Details
| NPI number | 1386669570 |
|---|---|
| LBN Legal business name | Clark, Donald Godfrey |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Apr 4th, 2024 - about last year |
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 | 1386669570 | NPPES |
| Michigan | Other | 5601001802 | STATE LICENSE |
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