Metzger, Clark Stephen

Metzger, Clark Stephen is an individual health care provider with primary practice located at 2130 E Johnson Ave Ste 130 , Pensacola FL 32514-6065. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Metzger, Clark Stephen can be contacted via phone (850) 494-6839.

Contact Information

Primary practice address
2130 E Johnson Ave Ste 130 Pensacola FL 32514-6065
Phone: (850) 494-6839
Fax: (833) 985-3960
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 13599 Alabama
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME57726 Florida

Profile Details

NPI number 1972583193
LBN Legal business name Metzger, Clark Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Dec 9th, 2021 - about 5 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 1972583193 NPPES
Florida MEDICAID 261095700
Florida MEDICAID 529910810

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