Clark, Jeffrey

Clark, Jeffrey is an individual health care provider with primary practice located at 9576 Hwy 70 Department Of Pediatrics, Minocqua WI 54548. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Clark, Jeffrey can be contacted via phone (715) 358-1000.

Contact Information

Primary practice address
9576 Hwy 70 Department Of Pediatrics Minocqua WI 54548
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 1174942353 Wisconsin

Profile Details

NPI number 1174942353
LBN Legal business name Clark, Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2014
Last updated Oct 20th, 2020 - about 5 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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