Clark, Matthew William

Clark, Matthew William is an sole proprietor health care provider with primary practice located at Uss Philippine Sea , Fpo AA 34092-1178. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Clark, Matthew William can be contacted via phone (904) 270-6502.

Contact Information

Primary practice address
Uss Philippine Sea Fpo AA 34092-1178
Phone: (904) 270-6502
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1245284629
LBN Legal business name Clark, Matthew William
Credentials IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2006
Last updated May 12th, 2010 - about 14 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.

Request for update

Popular Providers