Clarkson, Bayard D
Clarkson, Bayard D is an individual health care provider with primary practice located at 47 Crafts Rd , Chestnut Hill MA 02467-1823. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Clarkson, Bayard D can be contacted via phone (617) 730-8174.Contact Information
Primary practice address
47 Crafts Rd
Chestnut Hill MA 02467-1823
Phone: (617) 730-8174
Fax: (617) 277-2844
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 53344 | Massachusetts |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 53344 | Massachusetts |
Profile Details
| NPI number | 1669463956 |
|---|---|
| LBN Legal business name | Clarkson, Bayard D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1669463956 | NPPES |
| Massachusetts | MEDICAID | 3045617 |
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