Clarke, Mary
Clarke, Mary is an individual health care provider with primary practice located at 1815 W 6Th Ave , Stillwater OK 74074-4202. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Clarke, Mary can be contacted via phone (405) 743-7300.Contact Information
Primary practice address
1815 W 6Th Ave
Stillwater OK 74074-4202
Phone: (405) 743-7300
Fax: (405) 743-7398
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | L8314 | Texas |
Profile Details
| NPI number | 1194839589 |
|---|---|
| LBN Legal business name | Clarke, Mary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Oct 27th, 2008 - 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 | 1194839589 | NPPES |
| Texas | MEDICAID | 1730673 01 |
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