Yellowhair, Clyde

Yellowhair, Clyde is an individual health care provider with primary practice located at 500 Indiana Ave , Winslow AZ 86047. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Yellowhair, Clyde can be contacted via phone (928) 289-4646.

Contact Information

Primary practice address
500 Indiana Ave Winslow AZ 86047
Phone: (928) 289-4646
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 13046 Arizona

Profile Details

NPI number 1336662584
LBN Legal business name Yellowhair, Clyde
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2017
Last updated Jul 19th, 2017 - about 7 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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