Clark, Michael L
Clark, Michael L is an individual health care provider with primary practice located at 596 W Main St , Wilmington OH 45177-2123. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Clark, Michael L can be contacted via phone (937) 283-2588.Contact Information
Primary practice address
596 W Main St
Wilmington OH 45177-2123
Phone: (937) 283-2588
Fax: (937) 283-2594
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 35062520C | Ohio |
Profile Details
NPI number | 1114988540 |
---|---|
LBN Legal business name | Clark, Michael L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 28th, 2006 |
Last updated | May 1st, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114988540 | NPPES |
Ohio | MEDICAID | 0969420 |
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