Clark, Patrick W.

Clark, Patrick W. is an individual health care provider with primary practice located at 1800 Medical Center Pkwy Suite 330, Murfreesboro TN 37129-2567. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Clark, Patrick W. can be contacted via phone (615) 396-4464.

Contact Information

Primary practice address
1800 Medical Center Pkwy Suite 330 Murfreesboro TN 37129-2567
Phone: (615) 396-4464
Fax: (615) 396-6748
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 47459 Tennessee

Profile Details

NPI number 1407036841
LBN Legal business name Clark, Patrick W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2007
Last updated Oct 21st, 2011 - about 13 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 1407036841 NPPES
Tennessee Other P00954898 RR MEDICARE
Tennessee Other 4300340 RR MEDICARE
Tennessee MEDICAID 1524317 RR MEDICARE

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