Clerico, John
Clerico, John is an individual health care provider with primary practice located at 3528 Yadkinville Rd , Winston Salem NC 27106-2535. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Clerico, John can be contacted via phone (336) 924-6811.Contact Information
Primary practice address
3528 Yadkinville Rd
Winston Salem NC 27106-2535
Phone: (336) 924-6811
Fax: (336) 922-4375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 912 | North Carolina |
Profile Details
| NPI number | 1740266873 |
|---|---|
| LBN Legal business name | Clerico, John |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2005 |
| Last updated | Dec 7th, 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 | 1740266873 | NPPES |
| North Carolina | MEDICAID | 8909158 |
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