Clyde, Rita Joy

Clyde, Rita Joy is an sole proprietor health care provider with primary practice located at 2400 W Pasewalk Ave , Norfolk NE 68701-4608. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Clyde, Rita Joy can be contacted via phone (402) 371-5715.

Contact Information

Primary practice address
2400 W Pasewalk Ave Norfolk NE 68701-4608
Phone: (402) 371-5715
Fax: (402) 371-6152
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X NE 1060 Nebraska
Eye and Vision Services Providers / Optometrist 152W00000X 510 South Dakota
Eye and Vision Services Providers / Optometrist 152W00000X 2437 Minnesota

Profile Details

NPI number 1851401061
LBN Legal business name Clyde, Rita Joy
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851401061 NPPES
Nebraska Other 170020 DYNTEK
Nebraska Other 550645 DYNTEK
Nebraska Other 34993 DYNTEK
Nebraska Other CL1415522 DYNTEK
Nebraska MEDICAID 10025049900 DYNTEK
Nebraska Other 47933 DYNTEK
Nebraska Other 04186 DYNTEK
Nebraska Other 36704 DYNTEK
Nebraska Other 920880 DYNTEK

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