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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467454827 | NPPES |
| Ohio | Other | 00340 | PARAMOUNT |
| Ohio | MEDICAID | 1539188 | PARAMOUNT |
| Ohio | MEDICAID | 0314814 | PARAMOUNT |
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