Clyde, Rebecca Marie
Clyde, Rebecca Marie is an individual health care provider with primary practice located at 2970 Hilltop Mall Rd Ste 304 , Richmond CA 94806-5274. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Clyde, Rebecca Marie can be contacted via phone (510) 204-8090.Contact Information
Primary practice address
2970 Hilltop Mall Rd Ste 304
Richmond CA 94806-5274
Phone: (510) 204-8090
Fax: (510) 506-7726
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A71193 | California |
Profile Details
| NPI number | 1184737348 |
|---|---|
| LBN Legal business name | Clyde, Rebecca Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1184737348 | NPPES |
| California | Other | A71193 | STATE MEDICAL LICENSE |
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