Clark, Michael Anthony

Clark, Michael Anthony is an individual health care provider with primary practice located at 10535 Hospital Way , Mather CA 95655-4200. He recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Case Management, Nursing Service Providers / Emergency, Nursing Service Providers / Critical Care Medicine, Nursing Service Providers / General Practice. Nursing Service Providers / General Practice is his primary health care specialty. Clark, Michael Anthony can be contacted via phone (916) 366-5410.

Contact Information

Primary practice address
10535 Hospital Way Mather CA 95655-4200
Phone: (916) 366-5410
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X RN 199634 Ohio
Nursing Service Providers / Emergency 163WE0003X 741297 California
Nursing Service Providers / Critical Care Medicine 163WC0200X 741297 California
Nursing Service Providers / General Practice 163WG0000X 741297 California

Profile Details

NPI number 1255478111
LBN Legal business name Clark, Michael Anthony
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Jun 29th, 2012 - about 12 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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