Clarke, Dwight
Clarke, Dwight is an sole proprietor health care provider with primary practice located at 340 E Palm Ln Suite A260, Phoenix AZ 85004-4603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Clarke, Dwight can be contacted via phone (602) 254-1136.Contact Information
Primary practice address
340 E Palm Ln Suite A260
Phoenix AZ 85004-4603
Phone: (602) 254-1136
Fax: (602) 279-1720
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 32231 | Arizona |
Profile Details
| NPI number | 1477555845 |
|---|---|
| LBN Legal business name | Clarke, Dwight |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Sep 1st, 2009 - about 16 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 | 1477555845 | NPPES |
| Arizona | MEDICAID | 859142 | |
| Arizona | Other | AZ0756690 |
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