Clark, Michael Jonathan

Clark, Michael Jonathan is an individual health care provider with primary practice located at 420 Nokomis Ave S , Venice FL 34285-2617. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Clark, Michael Jonathan can be contacted via phone (941) 355-2767.

Contact Information

Primary practice address
420 Nokomis Ave S Venice FL 34285-2617
Phone: (941) 355-2767
Fax: (941) 355-0617
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MT186642 Pennsylvania

Profile Details

NPI number 1619134970
LBN Legal business name Clark, Michael Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2008
Last updated Oct 28th, 2021 - about 3 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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