Clarke, Edward Holton

Clarke, Edward Holton is an sole proprietor health care provider with primary practice located at 147 W Gray St Mark Twain Building, Elmira NY 14901-3017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Clarke, Edward Holton can be contacted via phone (607) 733-6698.

Contact Information

Primary practice address
147 W Gray St Mark Twain Building Elmira NY 14901-3017
Phone: (607) 733-6698
Fax: (607) 733-6762
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 1039991 New York

Profile Details

NPI number 1407845878
LBN Legal business name Clarke, Edward Holton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2005
Last updated Aug 20th, 2012 - about 14 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 1407845878 NPPES
New York MEDICAID 0685823
New York MEDICAID 0006323570001

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