Fish, Clyde S
Fish, Clyde S is an individual health care provider with primary practice located at 469 Centerville Rd Suite 105, Warwick RI 02886-4354. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Fish, Clyde S can be contacted via phone (401) 738-9200.Contact Information
Primary practice address
469 Centerville Rd Suite 105
Warwick RI 02886-4354
Phone: (401) 738-9200
Fax: (401) 738-9400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | DPM00208 | Rhode Island |
Profile Details
| NPI number | 1326148297 |
|---|---|
| LBN Legal business name | Fish, Clyde S |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Jan 23rd, 2012 - about 13 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 | 1326148297 | NPPES |
| Rhode Island | MEDICAID | CP19363 |
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