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Mr. Clyde Milton Lockett JR.
Contractor in South Bend, Indiana
NPI 1174291520

Clyde Milton Lockett JR. is a Contractor based in Crown Point, IN. Clyde Milton Lockett JR. practices in South Bend, IN. The NPI Number for Clyde Milton Lockett JR. is 1174291520 and holds a License No. (Indiana).

The current practice location address for Clyde Milton Lockett JR. is 1251 N Eddy St Ste 200, South Bend, IN and can be reached out via phone at 219-312-1020.

Location: 1251 N Eddy St Ste 200, South Bend, IN, 46308-0312
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174291520
Provider Name
Clyde Milton Lockett JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1251 N Eddy St Ste 200, South Bend, IN, 46308-0312
Phone Number
219-312-1020
Fax Number
Provider Enumeration Date
09/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1251 N Eddy St Ste 200
City
South Bend
State
Indiana
Zip
46617-1478
Phone Number
219-312-1020
Fax Number
person
Provider Business Mailing Address Details
Address
1251 N Eddy St Ste 200
City
South Bend
State
Indiana
Zip
46617-1478
Phone Number
219-312-1020
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
171W00000X
License No.
()
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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