Clark, William Todd

Clark, William Todd is an sole proprietor health care provider with primary practice located at 305 Greenbriar Ct , Otisco IN 47163-9601. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Clark, William Todd can be contacted via phone (812) 256-6143.

Contact Information

Primary practice address
305 Greenbriar Ct Otisco IN 47163-9601
Phone: (812) 256-6143
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X

Profile Details

NPI number 1407093875
LBN Legal business name Clark, William Todd
Credentials CSA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 7th, 2009
Last updated Jan 7th, 2009 - about 15 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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