Clark, Michelle Olivette

Clark, Michelle Olivette is an sole proprietor health care provider with primary practice located at 1005 Atlantic Ave , Alameda CA 94501-1148. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Clark, Michelle Olivette can be contacted via phone (415) 474-7310.

Contact Information

Primary practice address
1005 Atlantic Ave Alameda CA 94501-1148
Phone: (415) 474-7310
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A 31665 California

Profile Details

NPI number 1164551545
LBN Legal business name Clark, Michelle Olivette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2007
Last updated Feb 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164551545 NPPES
California Other A 31665 STATE MEDICAL LICENSE

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