Caballero, Clint A
Caballero, Clint A is an individual health care provider with primary practice located at 12110 S Harrells Ferry Rd Ste 200 , Baton Rouge LA 70816-2426. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Caballero, Clint A can be contacted via phone (225) 372-5008.Contact Information
Primary practice address
12110 S Harrells Ferry Rd Ste 200
Baton Rouge LA 70816-2426
Phone: (225) 372-5008
Fax: (225) 927-4183
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 08421 | Louisiana |
Profile Details
| NPI number | 1952849705 |
|---|---|
| LBN Legal business name | Caballero, Clint A |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2017 |
| Last updated | Aug 13th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952849705 | NPPES |
| Louisiana | Other | 08421 | LOUISIANA STATE LICENSE |
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