Nicholas, William Clyde

Nicholas, William Clyde is an individual health care provider with primary practice located at 2500 North State Street Department Of Medicine Division Of Endocrinology, Jackson MS 39216-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Nicholas, William Clyde can be contacted via phone (601) 984-5525.

Contact Information

Primary practice address
2500 North State Street Department Of Medicine Division Of Endocrinology Jackson MS 39216-4500
Phone: (601) 984-5525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 08290 Mississippi

Profile Details

NPI number 1871513895
LBN Legal business name Nicholas, William Clyde
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jun 14th, 2012 - about 14 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 1871513895 NPPES
Mississippi MEDICAID 0017122
Mississippi Other RR 110127661
Mississippi MEDICAID 1960802

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