Clark, Jimmy R
Clark, Jimmy R is an individual health care provider with primary practice located at 8901 West Lincoln Avenue , West Allis WI 53227-2477. 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, Jimmy R can be contacted via phone (414) 328-7950.Contact Information
Primary practice address
8901 West Lincoln Avenue
West Allis WI 53227-2477
Phone: (414) 328-7950
Fax: (414) 328-8505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 29081 | Wisconsin |
Profile Details
| NPI number | 1952335069 |
|---|---|
| LBN Legal business name | Clark, Jimmy R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Jul 2nd, 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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