Clark, Michael E

Clark, Michael E is an individual health care provider with primary practice located at 207 Lakeside Drive , Southampton PA 18966. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Clark, Michael E can be contacted via phone (215) 953-1020.

Contact Information

Primary practice address
207 Lakeside Drive Southampton PA 18966
Phone: (215) 953-1020
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD065253L Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD065253L Pennsylvania

Profile Details

NPI number 1972527703
LBN Legal business name Clark, Michael E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Aug 20th, 2019 - about 7 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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