Clark0, William

Clark0, William is an sole proprietor health care provider with primary practice located at 8921 Black Panther Cv , Hernando MS 38632-4305. 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. Clark0, William can be contacted via phone (901) 590-5968.

Contact Information

Primary practice address
8921 Black Panther Cv Hernando MS 38632-4305
Phone: (901) 590-5968
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1487886834
LBN Legal business name Clark0, William
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2009
Last updated Aug 19th, 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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