Varner, Clyde R
Varner, Clyde R is an individual health care provider with primary practice located at 820 Ainsworth Dr Suite A, Prescott AZ 86301-1613. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Neurology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Varner, Clyde R can be contacted via phone (928) 778-0827.Contact Information
Primary practice address
820 Ainsworth Dr Suite A
Prescott AZ 86301-1613
Phone: (928) 778-0827
Fax: (928) 778-5622
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Neurology | 2084V0102X | 42061 | Arizona |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 9981 | Alabama |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 08710R | Louisiana |
| Allopathic & Osteopathic Physicians / Vascular Neurology | 2084V0102X | 38948 | Oklahoma |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 42061 | Arizona |
Profile Details
| NPI number | 1316931256 |
|---|---|
| LBN Legal business name | Varner, Clyde R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Dec 19th, 2023 - about last year |
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 | 1316931256 | NPPES |
| Virginia | Other | 0101241480 | LICENSE |
| Virginia | MEDICAID | 201051630A | LICENSE |
| Virginia | Other | 51545992 | LICENSE |
| Virginia | MEDICAID | 009913762 | LICENSE |
| Virginia | Other | 51547299 | LICENSE |
| Virginia | MEDICAID | 09429053 | LICENSE |
| Virginia | MEDICAID | 101165 | LICENSE |
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