Lockett, Clyde Milton

Lockett, Clyde Milton is an sole proprietor health care provider with primary practice located at 1251 N Eddy St Ste 200 , South Bend IN 46617-1478. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Driver, Other Service Providers / Contractor. Other Service Providers / Contractor is his primary health care specialty. Lockett, Clyde Milton can be contacted via phone (219) 312-1020.

Contact Information

Primary practice address
1251 N Eddy St Ste 200 South Bend IN 46617-1478
Phone: (219) 312-1020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1174291520
LBN Legal business name Lockett, Clyde Milton
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2021
Last updated Sep 1st, 2021 - about 5 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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