Clayton, Daniel Raydell
Clayton, Daniel Raydell is an individual health care provider with primary practice located at 1022 Belanger St , Houma LA 70360-4412. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Clayton, Daniel Raydell can be contacted via phone (985) 223-3132.Contact Information
Primary practice address
1022 Belanger St
Houma LA 70360-4412
Phone: (985) 223-3132
Fax: (985) 223-3126
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | A10531.RX | Louisiana |
Profile Details
| NPI number | 1629046586 |
|---|---|
| LBN Legal business name | Clayton, Daniel Raydell |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Dec 13th, 2012 - about 14 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 | 1629046586 | NPPES |
| Louisiana | MEDICAID | 1625922 |
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