Clark, Matthew
Clark, Matthew is an sole proprietor health care provider with primary practice located at 360 Bloomfield Ave Ste 301, Windsor CT 06095-2700. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Clark, Matthew can be contacted via phone (860) 607-3235.Contact Information
Primary practice address
360 Bloomfield Ave Ste 301
Windsor CT 06095-2700
Phone: (860) 607-3235
Fax: (860) 607-3201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 002674 | Connecticut |
Profile Details
| NPI number | 1417353996 |
|---|---|
| LBN Legal business name | Clark, Matthew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 12th, 2014 |
| Last updated | Jan 5th, 2017 - about 8 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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