Allen, Clyde
Allen, Clyde is an individual health care provider with primary practice located at 227 S 13Th Ave , Laurel MS 39440-4225. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Body Imaging is his primary health care specialty. Allen, Clyde can be contacted via phone (601) 709-2145.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 05238 | Mississippi |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 05238 | Mississippi |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 05238 | Mississippi |
Profile Details
| NPI number | 1912914268 |
|---|---|
| LBN Legal business name | Allen, Clyde |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912914268 | NPPES |
| Other | 1942214846 | GROUP MEDICARE NPI | |
| MEDICAID | 00014472 | GROUP MEDICARE NPI |
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