Clarke, Michael Sydenham

Clarke, Michael Sydenham is an individual health care provider with primary practice located at 250 Hospital Pl , Soldotna AK 99669-6999. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Clarke, Michael Sydenham can be contacted via phone (907) 714-4529.

Contact Information

Primary practice address
250 Hospital Pl Soldotna AK 99669-6999
Phone: (907) 714-4529
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X A145061 California
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 214872 Alaska
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 125057726 Illinois
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 214872 Alaska

Profile Details

NPI number 1114248879
LBN Legal business name Clarke, Michael Sydenham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2010
Last updated Mar 7th, 2024 - about 8 months 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 1114248879 NPPES
Arkansas Other E-11363 AR MEDICAL LICENSE
Arkansas Other A145061 AR MEDICAL LICENSE

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