Clarke, Jonathan T

Clarke, Jonathan T is an individual health care provider with primary practice located at 747 52Nd St Department Of Anesthesiology, Oakland CA 94609-1809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Clarke, Jonathan T can be contacted via phone (510) 428-3070.

Contact Information

Primary practice address
747 52Nd St Department Of Anesthesiology Oakland CA 94609-1809
Phone: (510) 428-3070
Fax: (510) 450-5853
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G39986 California

Profile Details

NPI number 1629034806
LBN Legal business name Clarke, Jonathan T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Dec 29th, 2015 - about 9 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 1629034806 NPPES
California MEDICAID 00G399860

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