Clyde, Harrie Robert
Clyde, Harrie Robert is an individual health care provider with primary practice located at 1600 W Chandler Blvd #160C, Chandler AZ 85224-6100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Clyde, Harrie Robert can be contacted via phone (480) 899-1696.Contact Information
Primary practice address
1600 W Chandler Blvd #160C
Chandler AZ 85224-6100
Phone: (480) 899-1696
Fax: (480) 963-6227
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 11161 | Arizona |
Profile Details
| NPI number | 1700853629 |
|---|---|
| LBN Legal business name | Clyde, Harrie Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Jul 8th, 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 | 1700853629 | NPPES |
| Arizona | MEDICAID | 23989901 |
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