Clark, Matthew John

Clark, Matthew John is an individual health care provider with primary practice located at 1 Medical Park Blvd , Bristol TN 37620-7453. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Clark, Matthew John can be contacted via phone (423) 844-1121.

Contact Information

Primary practice address
1 Medical Park Blvd Bristol TN 37620-7453
Phone: (423) 844-1121
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 60882 Tennessee
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 64936-20 Wisconsin

Profile Details

NPI number 1902224231
LBN Legal business name Clark, Matthew John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2014
Last updated Jun 17th, 2021 - about 3 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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