Albert, Clark J

Albert, Clark J is an individual health care provider with primary practice located at 700 S Park St St Marys Hsopital/Dean Medical Center, Madison WI 53715-1849. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Albert, Clark J can be contacted via phone (608) 258-6975.

Contact Information

Primary practice address
700 S Park St St Marys Hsopital/Dean Medical Center Madison WI 53715-1849
Phone: (608) 258-6975
Fax: (608) 258-5222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 26734-020 Wisconsin

Profile Details

NPI number 1457300634
LBN Legal business name Albert, Clark J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated May 6th, 2008 - about 18 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 1457300634 NPPES
Wisconsin MEDICAID 31648600
Wisconsin Other 2371

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