Clark, Benjamin T

Clark, Benjamin T is an sole proprietor health care provider with primary practice located at 1840 S Stapley Dr Ste 101 , Mesa AZ 85204-6682. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Clark, Benjamin T can be contacted via phone (480) 464-6979.

Contact Information

Primary practice address
1840 S Stapley Dr Ste 101 Mesa AZ 85204-6682
Phone: (480) 464-6979
Fax: (480) 464-6910
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 006841 Arizona
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1831400894
LBN Legal business name Clark, Benjamin T
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2010
Last updated Dec 1st, 2021 - 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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