Clarke, Thomas H

Clarke, Thomas H is an individual health care provider with primary practice located at 1350 S Hickory St Holmes Regional Medical Center, Melbourne FL 32901-3224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Clarke, Thomas H can be contacted via phone (321) 434-7313.

Contact Information

Primary practice address
1350 S Hickory St Holmes Regional Medical Center Melbourne FL 32901-3224
Phone: (321) 434-7313
Fax: (321) 434-7238
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME38347 Florida

Profile Details

NPI number 1942288683
LBN Legal business name Clarke, Thomas H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Jun 8th, 2012 - about 12 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 1942288683 NPPES
Florida MEDICAID 051952900

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