Clark, Charles Thomas

Clark, Charles Thomas is an individual health care provider with primary practice located at 313 Parks Hall , Athens OH 45701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Clark, Charles Thomas can be contacted via phone (740) 593-2444.

Contact Information

Primary practice address
313 Parks Hall Athens OH 45701
Phone: (740) 593-2444
Fax: (740) 593-0905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 34--003631 Ohio

Profile Details

NPI number 1568434397
LBN Legal business name Clark, Charles Thomas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated May 31st, 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 1568434397 NPPES
Ohio MEDICAID 0542158

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