Clark, William G
Clark, William G is an individual health care provider with primary practice located at 2600 Sixth St Sw , Canton OH 44710-1702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Clark, William G can be contacted via phone (330) 363-3926.Contact Information
Primary practice address
2600 Sixth St Sw
Canton OH 44710-1702
Phone: (330) 363-3926
Fax: (330) 363-5380
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 35067146 | Ohio |
Profile Details
| NPI number | 1134195241 |
|---|---|
| LBN Legal business name | Clark, William G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Jul 1st, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134195241 | NPPES |
| Ohio | MEDICAID | 0177697 |
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