Johnson, Clyde W

Johnson, Clyde W is an individual health care provider with primary practice located at 3101 Northup Way Ste 301 , Bellevue WA 98004-1449. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand is his primary health care specialty. Johnson, Clyde W can be contacted via phone (425) 462-5006.

Contact Information

Primary practice address
3101 Northup Way Ste 301 Bellevue WA 98004-1449
Phone: (425) 462-5006
Fax: (425) 462-5019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT00005729 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 2251H1200X PT00005729 Washington

Profile Details

NPI number 1962579375
LBN Legal business name Johnson, Clyde W
Credentials PT, CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Feb 22nd, 2023 - about 2 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 1962579375 NPPES
Washington MEDICAID 1023366

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