Clute, Steven Richard
Clute, Steven Richard is an individual health care provider with primary practice located at 7524 S Anthony Blvd , Fort Wayne IN 46816-2517. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Clute, Steven Richard can be contacted via phone (260) 441-8500.Contact Information
Primary practice address
7524 S Anthony Blvd
Fort Wayne IN 46816-2517
Phone: (260) 441-8500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 1201063A | Indiana |
Profile Details
| NPI number | 1063461796 |
|---|---|
| LBN Legal business name | Clute, Steven Richard |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Dec 27th, 2010 - about 15 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 | 1063461796 | NPPES |
| Indiana | MEDICAID | 200800010 | |
| Indiana | MEDICAID | 2618206 |
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