Wirta-Clarke, Yvette
Wirta-Clarke, Yvette is an sole proprietor health care provider with primary practice located at 1800 Se Tiffany Ave , Port St Lucie FL 34952-7521. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Wirta-Clarke, Yvette can be contacted via phone (772) 398-3800.Contact Information
Primary practice address
1800 Se Tiffany Ave
Port St Lucie FL 34952-7521
Phone: (772) 398-3800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | OS8390 | Florida |
Profile Details
| NPI number | 1962456426 |
|---|---|
| LBN Legal business name | Wirta-Clarke, Yvette |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962456426 | NPPES |
| Florida | Other | 05149 | BCBS |
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