Christie, William Clark
Christie, William Clark is an individual health care provider with primary practice located at 105 Brandt Dr Suite 201, Cranberry Township PA 16066-6437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Christie, William Clark can be contacted via phone (724) 772-5420.Contact Information
Primary practice address
105 Brandt Dr Suite 201
Cranberry Township PA 16066-6437
Phone: (724) 772-5420
Fax: (724) 772-5423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD037014E | Pennsylvania |
Profile Details
| NPI number | 1396747366 |
|---|---|
| LBN Legal business name | Christie, William Clark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | May 27th, 2010 - about 16 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 | 1396747366 | NPPES |
| Pennsylvania | MEDICAID | 01202691 |
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