Hastings, Clyde Donald

Hastings, Clyde Donald is an sole proprietor health care provider with primary practice located at 127 Ramsgate Dr , Shelby NC 28152-8509. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Hastings, Clyde Donald can be contacted via phone (704) 473-4788.

Contact Information

Primary practice address
127 Ramsgate Dr Shelby NC 28152-8509
Phone: (704) 473-4788
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X LAT-3590 North Carolina

Profile Details

NPI number 1720595077
LBN Legal business name Hastings, Clyde Donald
Credentials LAT, ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2018
Last updated Feb 2nd, 2018 - about 8 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 1720595077 NPPES
North Carolina Other LAT-3590 NORTH CAROLINA BOARD OF ATHLETIC TRAINER EXAMINERS
North Carolina Other 2000020597 NORTH CAROLINA BOARD OF ATHLETIC TRAINER EXAMINERS

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