Clark, Darin T

Clark, Darin T is an individual health care provider with primary practice located at 102 N Adelaide St , Fenton MI 48430-2670. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Clark, Darin T can be contacted via phone (810) 629-2245.

Contact Information

Primary practice address
102 N Adelaide St Fenton MI 48430-2670
Phone: (810) 629-2245
Fax: (810) 629-6535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601003906 Michigan

Profile Details

NPI number 1568439537
LBN Legal business name Clark, Darin T
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Jul 9th, 2007 - about 19 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 1568439537 NPPES
Michigan Other MC0921785 MEDICARE RR ID

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