Clark, Michael

Clark, Michael is an individual health care provider with primary practice located at 593 Eddy St Apc Suite 523, Providence RI 02903-4923. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Clark, Michael can be contacted via phone (401) 444-8467.

Contact Information

Primary practice address
593 Eddy St Apc Suite 523 Providence RI 02903-4923
Phone: (401) 444-8467
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X APRN01380 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN01380 Rhode Island

Profile Details

NPI number 1942653688
LBN Legal business name Clark, Michael
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2016
Last updated Nov 24th, 2020 - about 5 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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