Pillsbury, Clark W

Pillsbury, Clark W is an sole proprietor health care provider with primary practice located at 10463 Double R Blvd Suite 100, Reno NV 89521-8908. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Pillsbury, Clark W can be contacted via phone (775) 358-2542.

Contact Information

Primary practice address
10463 Double R Blvd Suite 100 Reno NV 89521-8908
Phone: (775) 358-2542
Fax: (775) 358-1413
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 8801 Nevada

Profile Details

NPI number 1467526509
LBN Legal business name Pillsbury, Clark W
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2006
Last updated Oct 18th, 2011 - about 14 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 1467526509 NPPES
Nevada Other P00036112 RAILROAD MEDICARE
Nevada MEDICAID 002116004 RAILROAD MEDICARE

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