Clark, Thomas R
Clark, Thomas R is an sole proprietor health care provider with primary practice located at 41820 6 Mile Rd Suite 104, Northville MI 48168-2763. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Clark, Thomas R can be contacted via phone (248) 349-3131.Contact Information
Primary practice address
41820 6 Mile Rd Suite 104
Northville MI 48168-2763
Phone: (248) 349-3131
Fax: (248) 349-3232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301001244 | Michigan |
Profile Details
| NPI number | 1407866981 |
|---|---|
| LBN Legal business name | Clark, Thomas R |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2006 |
| 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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