Clark, William

Clark, William is an individual health care provider with primary practice located at 4430 Missouri Ave , Fort Leonard Wood MO 65473-9098. He recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as his primary health care specialty. Clark, William can be contacted via phone (703) 309-5012.

Contact Information

Primary practice address
4430 Missouri Ave Fort Leonard Wood MO 65473-9098
Phone: (703) 309-5012
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X

Profile Details

NPI number 1619650439
LBN Legal business name Clark, William
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2023
Last updated Aug 9th, 2023 - about 2 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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