Clark, Michael E

Clark, Michael E is an individual health care provider with primary practice located at 4 Sheridan Drive , Fairfield ME 04937. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Clark, Michael E can be contacted via phone (207) 861-5000.

Contact Information

Primary practice address
4 Sheridan Drive Fairfield ME 04937
Phone: (207) 861-5000
Fax: (207) 861-5001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 013687 Maine

Profile Details

NPI number 1053387936
LBN Legal business name Clark, Michael E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Oct 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053387936 NPPES
Maine MEDICAID 1053387936
Maine MEDICAID 272100099

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