Wayne, Clyde Calvin

Wayne, Clyde Calvin is an individual health care provider with primary practice located at 418 W 4Th St , Antioch CA 94509-1245. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Wayne, Clyde Calvin can be contacted via phone (510) 393-1864.

Contact Information

Primary practice address
418 W 4Th St Antioch CA 94509-1245
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1033559513
LBN Legal business name Wayne, Clyde Calvin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2013
Last updated Jun 28th, 2013 - about 11 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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