Clark, Michael

Clark, Michael is an individual health care provider with primary practice located at 317 E 100 N , Price UT 84501-2504. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Clark, Michael can be contacted via phone (435) 637-5061.

Contact Information

Primary practice address
317 E 100 N Price UT 84501-2504
Phone: (435) 637-5061
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 7198090-3102 Utah
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 7198090-4405 Utah

Profile Details

NPI number 1386170348
LBN Legal business name Clark, Michael
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2017
Last updated Oct 4th, 2017 - about 7 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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