Bench, Clyde Jardine
Bench, Clyde Jardine is an individual health care provider with primary practice located at 333 S 900 E , Salt Lake City UT 84102-2310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Bench, Clyde Jardine can be contacted via phone (801) 535-8163.Contact Information
Primary practice address
333 S 900 E
Salt Lake City UT 84102-2310
Phone: (801) 535-8163
Fax: (801) 355-4011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 151073-1205 | Utah |
Profile Details
| NPI number | 1629008750 |
|---|---|
| LBN Legal business name | Bench, Clyde Jardine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Sep 25th, 2007 - about 18 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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