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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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