Michael Clark is a Orthopedic in Fairhope, Alabama. Michael Clark practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Michael Clark is 1336147289. The last update date is 2009-02-18.
Michael Clark's current location address is Po Box 1186, Fairhope, Alabama. You can contact this provider via phone number 2519282401 and fax number 2519285099. The mailing address for Michael Clark is Po Box 1186, Fairhope, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Clark |
|---|---|
| Address | Po Box 1186, Fairhope, Alabama |
| Phone Number | 2519282401 |
| Fax Number | 2519285099 |
| Sole Proprietor | N |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1336147289 |
|---|---|
| Provider Enumeration Date | 2005-07-13 |
| Last Updated Date | 2009-02-18 |
Provider Mailing Address Detail
| Address | Po Box 1186 |
|---|---|
| City | Fairhope |
| State | Alabama (AL) |
| Post Code | 365331186 |
| Phone Number | 2519282401 |
| Fax Number | 2519285099 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | PTH2465 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51077610 | AL | BCBS | |
| 890006680 | AL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Michael Clark by the Centers for Medicare & Medicaid Services?
The Michael Clark has been issued the NPI (National Provider Identifier) 1336147289, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Michael Clark is geographically located?
The Michael Clark is physically situated at the following location: Po Box 1186, Fairhope, AL, 365331186.
What is Michael Clark's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Michael Clark is Orthopedic, and the taxonomy classification code that categorizes this area of expertise is 2251X0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1336147289 to Michael Clark?
The Centers for Medicare & Medicaid Services originally issued the 1336147289 to Michael Clark on 2005-07-13.
When was the information regarding Michael Clark most recently updated?
The details pertaining to the Michael Clark, including its address, specialty, and other relevant information, were last refreshed on 2009-02-18.