Leclair, Richard

Leclair, Richard is an individual health care provider with primary practice located at 1301 15Th Ave W , Williston ND 58801-3821. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Leclair, Richard can be contacted via phone (701) 774-7400.

Contact Information

Primary practice address
1301 15Th Ave W Williston ND 58801-3821
Phone: (701) 774-7400
Fax: (701) 774-7479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R16466 North Dakota

Profile Details

NPI number 1174542757
LBN Legal business name Leclair, Richard
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174542757 NPPES
North Dakota MEDICAID 12413
North Dakota Other 20665
North Dakota MEDICAID 4304053

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