Clark, Thomas James Earl

Clark, Thomas James Earl is an individual health care provider with primary practice located at 925 N 87Th St , Milwaukee WI 53226. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Clark, Thomas James Earl can be contacted via phone (414) 456-2020.

Contact Information

Primary practice address
925 N 87Th St Milwaukee WI 53226
Phone: (414) 456-2020
Fax: (414) 456-6300
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X 32120 Nebraska
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 68627 Wisconsin

Profile Details

NPI number 1144632183
LBN Legal business name Clark, Thomas James Earl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2014
Last updated Sep 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144632183 NPPES
Wisconsin MEDICAID 1144632183

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