Clyde, Willis K
Clyde, Willis K is an sole proprietor health care provider with primary practice located at 190 N Main St , Heber City UT 84032-1600. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Clyde, Willis K can be contacted via phone (435) 654-0804.Contact Information
Primary practice address
190 N Main St
Heber City UT 84032-1600
Phone: (435) 654-0804
Fax: (435) 654-3314
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 117343-2401 | Utah |
Profile Details
| NPI number | 1033293865 |
|---|---|
| LBN Legal business name | Clyde, Willis K |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Apr 23rd, 2013 - about 11 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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