Clark, Mitchell Brent
Clark, Mitchell Brent is an sole proprietor health care provider with primary practice located at 333 Cedar St. Yale Medical School, New Haven CT 06510. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is his primary health care specialty. Clark, Mitchell Brent can be contacted via phone (203) 833-0281.Contact Information
Primary practice address
333 Cedar St. Yale Medical School
New Haven CT 06510
Phone: (203) 833-0281
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | 65152 | Connecticut |
Profile Details
NPI number | 1669817854 |
---|---|
LBN Legal business name | Clark, Mitchell Brent |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 2nd, 2013 |
Last updated | Apr 9th, 2020 - about 5 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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