Clyde, Allen O

Clyde, Allen O is an sole proprietor health care provider with primary practice located at 688 Medical Center Dr E Suite 106, Clovis CA 93611-6807. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Clyde, Allen O can be contacted via phone (559) 297-8604.

Contact Information

Primary practice address
688 Medical Center Dr E Suite 106 Clovis CA 93611-6807
Phone: (559) 297-8604
Fax: (559) 297-0625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E1976 California

Profile Details

NPI number 1962538462
LBN Legal business name Clyde, Allen O
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2007
Last updated Mar 7th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962538462 NPPES
California Other E19760 CALIFORNIA LICENSE
California Other 946424550 CALIFORNIA LICENSE
California Other E1976 CALIFORNIA LICENSE
California MEDICAID 000E19760 CALIFORNIA LICENSE

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