Clark, Michael
Clark, Michael is an individual health care provider with primary practice located at 850 N Main Street Ext Blgd 2 Suite C2, Wallingford CT 06492-2400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Clark, Michael can be contacted via phone (203) 269-9778.Contact Information
Primary practice address
850 N Main Street Ext Blgd 2 Suite C2
Wallingford CT 06492-2400
Phone: (203) 269-9778
Fax: (203) 949-1544
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 41950 | Connecticut |
Profile Details
| NPI number | 1912903949 |
|---|---|
| LBN Legal business name | Clark, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Jul 31st, 2015 - 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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