Stock, Clyde Wallace

Stock, Clyde Wallace is an sole proprietor health care provider with primary practice located at 156 County Road 114 , Freedom WY 83120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Stock, Clyde Wallace can be contacted via phone (307) 880-2760.

Contact Information

Primary practice address
156 County Road 114 Freedom WY 83120
Phone: (307) 880-2760
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 472 Wyoming

Profile Details

NPI number 1144568924
LBN Legal business name Stock, Clyde Wallace
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2013
Last updated Jan 29th, 2013 - about 12 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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