Shreve, Clydeeve A

Shreve, Clydeeve A is an sole proprietor health care provider with primary practice located at 5640 Wasatch Dr Suite F, Ogden UT 84403-4902. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Shreve, Clydeeve A can be contacted via phone (801) 392-7507.

Contact Information

Primary practice address
5640 Wasatch Dr Suite F Ogden UT 84403-4902
Phone: (801) 392-7507
Fax: (801) 393-0725
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 101694-0501 Utah

Profile Details

NPI number 1225129117
LBN Legal business name Shreve, Clydeeve A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2006
Last updated Jul 9th, 2007 - about 18 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 1225129117 NPPES
Utah Other 5177150001 DEMERK PROVIDER ID
Utah Other P00100541 DEMERK PROVIDER ID

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