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
Phone: (734) 712-7688
Fax: (734) 712-7056
Website:
Health care specialties
| Specialty | Code | License # | 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 10 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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