Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CLYDE MILTON LOCKETT JR.
Active Sole ProprietorMR. CLYDE MILTON LOCKETT JR. is a Contractor healthcare provider located in SOUTH BEND, Indiana. NPI 1174291520 is currently active in the NPPES registry. Verify at CMS.
Contractor · SOUTH BEND, IN
Registration Details
- NPI Number
- 1174291520
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 1, 2021 (4.9104192701422 yrs)
- Last Updated
- Sep 1, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
1251 N EDDY ST STE 200SOUTH BEND, IN, 466171478Browse IN providers · Browse ZIP 46617
- Phone
- 2193121020
- Primary Specialty
-
Contractor
171W00000X
- Additional Specialty
- Contractor
Other Contractor Providers in SOUTH BEND, IN
| Name | Credential | NPI |
|---|---|---|
| MS. ANN G PRYOR | — | 1699002642 |
| AMANDA BATES | MS ED | 1265974802 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.