CLYDE E HAWORTH JR; NPI #1376721936

Contact Information

CLYDE E HAWORTH JR

2190 MENDON ROAD
CUMBERLAND, RI 02864-3805

Phone: 401-333-0090
Fax: 401-333-0490
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for CLYDE E HAWORTH JR

NPI Number 1376721936

LBN Legal business name CLYDE E HAWORTH JR

Authorized official CLYDE HAWORTH - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/06/2008

Last updated 01/20/2012 - About 14 years ago

Identifiers

License #

ODTG495

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CLYDE E HAWORTH JR

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for CLYDE E HAWORTH JR

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