Clark, Jeffrey Keith

Clark, Jeffrey Keith is an individual health care provider with primary practice located at 3990 John R St , Detroit MI 48201-2018. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Clark, Jeffrey Keith can be contacted via phone (313) 745-8521.

Contact Information

Primary practice address
3990 John R St Detroit MI 48201-2018
Phone: (313) 745-8521
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301049839 Michigan

Profile Details

NPI number 1629184734
LBN Legal business name Clark, Jeffrey Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Aug 23rd, 2016 - about 9 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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