Clark, William F

Clark, William F is an sole proprietor health care provider with primary practice located at 154 West St Suite E, Cromwell CT 06416-4400. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Clark, William F can be contacted via phone (860) 632-1668.

Contact Information

Primary practice address
154 West St Suite E Cromwell CT 06416-4400
Phone: (860) 632-1668
Fax: (860) 632-1672
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X 001321 Connecticut

Profile Details

NPI number 1740360049
LBN Legal business name Clark, William F
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Feb 1st, 2012 - about 12 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 1740360049 NPPES
Other 132100 CONNECTICARE
Other 905871CONN CONNECTICARE
Other U75980 CONNECTICARE
Other P2773574 CONNECTICARE
Other 611244 CONNECTICARE
Other 7139035 CONNECTICARE
Other U75980 CONNECTICARE
Other 050001321CT02 CONNECTICARE
Other 44-04334 CONNECTICARE
Other 1397991 CONNECTICARE
Other U75980 CONNECTICARE
Other U75980 CONNECTICARE

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