Clark, William Charles

Clark, William Charles is an individual health care provider with primary practice located at 2000 S Wheeling Ave Ste 1110 , Tulsa OK 74104-5651. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Clark, William Charles can be contacted via phone (918) 301-6018.

Contact Information

Primary practice address
2000 S Wheeling Ave Ste 1110 Tulsa OK 74104-5651
Phone: (918) 301-6018
Fax: (918) 770-0085
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 24842 Oklahoma

Profile Details

NPI number 1962455725
LBN Legal business name Clark, William Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Dec 8th, 2023 - about 2 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 1962455725 NPPES
Oklahoma MEDICAID 200081930A

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