Carpenter, Clyde T.
Carpenter, Clyde T. is an individual health care provider with primary practice located at 3901 Capital Mall Dr Sw Ste A, Olympia WA 98502-8654. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Carpenter, Clyde T. can be contacted via phone (360) 786-8990.Contact Information
Primary practice address
3901 Capital Mall Dr Sw Ste A
Olympia WA 98502-8654
Phone: (360) 786-8990
Fax: (360) 786-9010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | MD00032013 | Washington |
Profile Details
| NPI number | 1205906294 |
|---|---|
| LBN Legal business name | Carpenter, Clyde T. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2006 |
| Last updated | May 23rd, 2016 - about 8 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 | 1205906294 | NPPES |
| Washington | MEDICAID | 8209587 |
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