Clark, William D
Clark, William D is an individual health care provider with primary practice located at 18101 Oakwood Blvd Ste 124 , Dearborn MI 48124-4089. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Clark, William D can be contacted via phone (313) 586-5011.Contact Information
Primary practice address
18101 Oakwood Blvd Ste 124
Dearborn MI 48124-4089
Phone: (313) 586-5011
Fax: (313) 592-7134
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 4301068667 | Michigan |
Profile Details
NPI number | 1922096718 |
---|---|
LBN Legal business name | Clark, William D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 6th, 2005 |
Last updated | Feb 20th, 2024 - about 9 months 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 | 1922096718 | NPPES |
Michigan | MEDICAID | 4577146 |
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