Hutchinson, Clyde Maxwell

Hutchinson, Clyde Maxwell is an individual health care provider with primary practice located at 611 Alcorn Dr Suite 200, Corinth MS 38834-9321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Hutchinson, Clyde Maxwell can be contacted via phone (662) 287-6913.

Contact Information

Primary practice address
611 Alcorn Dr Suite 200 Corinth MS 38834-9321
Phone: (662) 287-6913
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 07569 Mississippi

Profile Details

NPI number 1609876739
LBN Legal business name Hutchinson, Clyde Maxwell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Jul 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609876739 NPPES
Mississippi MEDICAID 00115192
Mississippi MEDICAID 009963070
Mississippi Other 730-01061

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