Clark, Matthew Erick
Clark, Matthew Erick is an sole proprietor health care provider with primary practice located at 2004 Sproul Rd , Broomall PA 19008-3511. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Clark, Matthew Erick can be contacted via phone (610) 353-0800.Contact Information
Primary practice address
2004 Sproul Rd
Broomall PA 19008-3511
Phone: (610) 353-0800
Fax: (610) 359-1686
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | RT002008A | Pennsylvania |
Profile Details
| NPI number | 1093849606 |
|---|---|
| LBN Legal business name | Clark, Matthew Erick |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Jul 8th, 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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