Protack, Clinton David
Protack, Clinton David is an individual health care provider with primary practice located at 520 Upper Chesapeake Dr Ste 306 , Bel Air MD 21014-4375. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Protack, Clinton David can be contacted via phone (410) 879-2006.Contact Information
Primary practice address
520 Upper Chesapeake Dr Ste 306
Bel Air MD 21014-4375
Phone: (410) 879-2006
Fax: (410) 879-0428
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | D87273 | Maryland |
Profile Details
NPI number | 1952563801 |
---|---|
LBN Legal business name | Protack, Clinton David |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 1st, 2008 |
Last updated | Sep 16th, 2019 - about 5 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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