Clark, Timothy Vaughan
Clark, Timothy Vaughan is an sole proprietor health care provider with primary practice located at 726 4Th St , Marysville CA 95901-5656. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Clark, Timothy Vaughan can be contacted via phone (530) 743-4377.Contact Information
Primary practice address
726 4Th St
Marysville CA 95901-5656
Phone: (530) 743-4377
Fax: (530) 749-6616
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 20A13845 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OTO13674 | Pennsylvania |
Profile Details
| NPI number | 1932420320 |
|---|---|
| LBN Legal business name | Clark, Timothy Vaughan |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2010 |
| Last updated | Feb 24th, 2016 - about 8 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 | 1932420320 | NPPES |
| California | Other | 20A13845 | LICENSE |
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