Clark, Paul M

Clark, Paul M is an individual health care provider with primary practice located at 2213 Cherry St #303 Acc, Toledo OH 43608-2603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Clark, Paul M can be contacted via phone (419) 251-3112.

Contact Information

Primary practice address
2213 Cherry St #303 Acc Toledo OH 43608-2603
Phone: (419) 251-3112
Fax: (419) 251-3712
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 35.039569 Ohio

Profile Details

NPI number 1467454827
LBN Legal business name Clark, Paul M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Oct 16th, 2007 - about 17 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 1467454827 NPPES
Ohio Other 00340 PARAMOUNT
Ohio MEDICAID 1539188 PARAMOUNT
Ohio MEDICAID 0314814 PARAMOUNT

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