Clarke, William Robert

Clarke, William Robert is an sole proprietor health care provider with primary practice located at 300 Longwood Ave , Boston MA 02115-5724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, which is considered as his primary health care specialty. Clarke, William Robert can be contacted via phone (617) 355-6000.

Contact Information

Primary practice address
300 Longwood Ave Boston MA 02115-5724
Phone: (617) 355-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 47307-020 Wisconsin
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X MD00018770 Washington
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 278846 Massachusetts

Profile Details

NPI number 1699907485
LBN Legal business name Clarke, William Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2009
Last updated May 28th, 2019 - about 7 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 1699907485 NPPES
Wisconsin MEDICAID 1699907485

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