Mr. Clyde Milton Lockett Jr.
Mr. Clyde Milton Lockett Jr. is a Driver in South Bend, Indiana. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
1251 N Eddy St Ste 200South Bend, IN 46617-1478
Phone: (219) 312-1020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Contractor (primary) | Taxonomy 171W00000X |
|---|---|
| Driver | Taxonomy 172A00000X |
Record details
| NPI number | 1174291520 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 1, 2021 |
| Last updated in NPPES | September 1, 2021 |
| Certification date | August 31, 2021 |
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