Individual
MR. CLYDE MILTON LOCKETT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1251 N EDDY ST STE 200, SOUTH BEND, IN 46617-1478
(219) 312-1020
Mailing address
PO BOX 312, CROWN POINT, IN 46308-0312
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
172A00000X
Driver
—
—
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us