Clark, Michael D

Clark, Michael D is an individual health care provider with primary practice located at 1200 W Cherokee St , Wagoner OK 74467-4624. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Clark, Michael D can be contacted via phone (918) 485-1323.

Contact Information

Primary practice address
1200 W Cherokee St Wagoner OK 74467-4624
Phone: (918) 485-1323
Fax: (918) 485-9486
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2492 Oklahoma

Profile Details

NPI number 1982818811
LBN Legal business name Clark, Michael D
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 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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