Clyde W Ates
Individual provider Active NPI Case Manager/Care Coordinator · Chickasha, OK
NPI 1275650368 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1275650368
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1427 Sheppard St
Chickasha, OK 73018-5917 - Phone
- (405) 222-7083
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
1427 Sheppard St
Chickasha, OK 73018-5917
Mailing address
1427 Sheppard St
Chickasha, OK 73018-5917
Phone (405) 222-7083
Other providers in Chickasha, OK
- Kevin Anderson
- Lauren Harley Antrim
- Amberly Arellano
- Erin Baylee Armstrong
- Around the Clock Home Care
- Dakota Bare
- Jessica Barron
- Samuel Nicholas Bass
- Nathan Bauman
- Nicole Daniel Bauman
All providers in Chickasha, OK · Case Manager/Care Coordinator in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.