Clarke, Paul W

Clarke, Paul W is an sole proprietor health care provider with primary practice located at 1319 N Mount Auburn Rd , Cape Girardeau MO 63701-1721. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Clarke, Paul W can be contacted via phone (573) 335-5100.

Contact Information

Primary practice address
1319 N Mount Auburn Rd Cape Girardeau MO 63701-1721
Fax: (573) 335-0339
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X R7634 Missouri

Profile Details

NPI number 1912016056
LBN Legal business name Clarke, Paul W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Jan 7th, 2011 - about 15 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 1912016056 NPPES
Missouri MEDICAID 200255701

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