Clark, Matthew Harvey

Clark, Matthew Harvey is an individual health care provider with primary practice located at 255 N Herwaldt Dr , Fresno CA 93701-2186. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Clark, Matthew Harvey can be contacted via phone (559) 459-7300.

Contact Information

Primary practice address
255 N Herwaldt Dr Fresno CA 93701-2186
Phone: (559) 459-7300
Fax: (559) 459-3750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10003694 Washington
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10003694 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA22496 California
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA22496 California

Profile Details

NPI number 1073520581
LBN Legal business name Clark, Matthew Harvey
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jul 1st, 2014 - about 11 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 1073520581 NPPES
Washington MEDICAID 8451098

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