Clyde, Jon C

Clyde, Jon C is an individual health care provider with primary practice located at 217 W Cataldo Ave , Spokane WA 99201-2217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Clyde, Jon C can be contacted via phone (509) 747-6194.

Contact Information

Primary practice address

217 W Cataldo Ave Spokane WA 99201-2217

Phone: (509) 747-6194

Fax: (509) 838-0824

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Allopathic & Osteopathic Physicians / Surgery	208600000X	MD00027478	Washington

Profile Details

NPI number	1891767943
LBN Legal business name	Clyde, Jon C
Credentials	Doctor of Medicine (MD)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Feb 3rd, 2006
Last updated	Sep 8th, 2016 - about 9 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

State	Type	Number	Issuer
All States	NPI	1891767943	NPPES
Washington	Other	305785	LABOR& INDUSTRIES
Washington	Other	P01152325	LABOR& INDUSTRIES
Washington	MEDICAID	1021532	LABOR& INDUSTRIES

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