Clark, William Buren
Clark, William Buren is an sole proprietor health care provider with primary practice located at 8331 N Davis Hwy , Pensacola FL 32514. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is his primary health care specialty. Clark, William Buren can be contacted via phone (850) 505-4700.Contact Information
Primary practice address
8331 N Davis Hwy
Pensacola FL 32514
Phone: (850) 505-4700
Fax: (850) 505-4711
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | ME0058920 | Florida |
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | ME58920 | Florida |
Profile Details
| NPI number | 1447230354 |
|---|---|
| LBN Legal business name | Clark, William Buren |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Oct 19th, 2018 - about 6 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 | 1447230354 | NPPES |
| Florida | MEDICAID | 054866900 | |
| Florida | MEDICAID | 024627500 |
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