Clark, Guy

Clark, Guy is an sole proprietor health care provider with primary practice located at 2419 Castillo St , Santa Barbara CA 93105-4301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Clark, Guy can be contacted via phone (805) 682-7570.

Contact Information

Primary practice address
2419 Castillo St Santa Barbara CA 93105-4301
Phone: (805) 682-7570
Fax: (805) 687-3776
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X G1009A California

Profile Details

NPI number 1063574788
LBN Legal business name Clark, Guy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2006
Last updated Jul 9th, 2007 - about 18 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 1063574788 NPPES
California MEDICAID 00G10090

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