Metzger, Clark Stephen
Metzger, Clark Stephen is an individual health care provider with primary practice located at 2130 E Johnson Ave Ste 130 , Pensacola FL 32514-6065. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Metzger, Clark Stephen can be contacted via phone (850) 494-6839.Contact Information
Primary practice address
2130 E Johnson Ave Ste 130
Pensacola FL 32514-6065
Phone: (850) 494-6839
Fax: (833) 985-3960
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 13599 | Alabama |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME57726 | Florida |
Profile Details
NPI number | 1972583193 |
---|---|
LBN Legal business name | Metzger, Clark Stephen |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 23rd, 2006 |
Last updated | Dec 9th, 2021 - about 4 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 | 1972583193 | NPPES |
Florida | MEDICAID | 261095700 | |
Florida | MEDICAID | 529910810 |
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