Clark, Sonya Miciak

Clark, Sonya Miciak is an individual health care provider with primary practice located at 1702 Skylyn Dr , Spartanburg SC 29307-1040. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is her primary health care specialty. Clark, Sonya Miciak can be contacted via phone (864) 308-8668.

Contact Information

Primary practice address
1702 Skylyn Dr Spartanburg SC 29307-1040
Phone: (864) 308-8668
Fax: (864) 640-8488
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 32951 South Carolina
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 2016-02120 North Carolina
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 32951 South Carolina

Profile Details

NPI number 1427174374
LBN Legal business name Clark, Sonya Miciak
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Nov 13th, 2018 - about 8 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 1427174374 NPPES
Tennessee MEDICAID 1519420
Tennessee MEDICAID 04301531

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