Clark, Matthew Josiah

Clark, Matthew Josiah is an individual health care provider with primary practice located at 5333 Mcauley Dr Suite 3111, Ypsilanti MI 48197-1014. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Clark, Matthew Josiah can be contacted via phone (734) 712-7688.

Contact Information

Primary practice address
5333 Mcauley Dr Suite 3111 Ypsilanti MI 48197-1014
Fax: (734) 712-7056
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601004804 Michigan

Profile Details

NPI number 1891848388
LBN Legal business name Clark, Matthew Josiah
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated May 25th, 2016 - about 9 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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