Clark, William Patrick

Clark, William Patrick is an individual health care provider with primary practice located at 110 Wimbledon Sq Suite E, Chesapeake VA 23320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Clark, William Patrick can be contacted via phone (757) 436-2995.

Contact Information

Primary practice address
110 Wimbledon Sq Suite E Chesapeake VA 23320
Fax: (757) 436-2912
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 0101036704 Virginia

Profile Details

NPI number 1487619656
LBN Legal business name Clark, William Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Oct 3rd, 2013 - about 11 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 1487619656 NPPES
Virginia MEDICAID 1487619656

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