Clark, William A

Clark, William A is an individual health care provider with primary practice located at 2380 Cedar St , Holt MI 48842-2143. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Clark, William A can be contacted via phone (517) 742-4922.

Contact Information

Primary practice address
2380 Cedar St Holt MI 48842-2143
Phone: (517) 742-4922
Fax: (517) 699-2904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601001772 Michigan

Profile Details

NPI number 1982605739
LBN Legal business name Clark, William A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Jun 5th, 2015 - about 10 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 1982605739 NPPES
Other 0C36097 TRAVELERS MEDICARE
Other 0C360971062 TRAVELERS MEDICARE
Other 0C36097 TRAVELERS MEDICARE

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