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:
Health care specialties
| Specialty | Code | License # | 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 15 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 | 1568434397 | NPPES |
| Ohio | MEDICAID | 0542158 |
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