Roberts, Clayton Charles
Roberts, Clayton Charles is an sole proprietor health care provider with primary practice located at 3311 Prescott Rd Ste 202 , Alexandria LA 71301-3983. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Roberts, Clayton Charles can be contacted via phone (318) 442-0106.Contact Information
Primary practice address
3311 Prescott Rd Ste 202
Alexandria LA 71301-3983
Phone: (318) 442-0106
Fax: (318) 448-8918
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Assistant | 246ZC0007X |
Profile Details
| NPI number | 1043715212 |
|---|---|
| LBN Legal business name | Roberts, Clayton Charles |
| Credentials | SA-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2018 |
| Last updated | Mar 29th, 2018 - about 7 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 | 1043715212 | NPPES |
| Wisconsin | Other | 17-640 | AMERICAN BOARD OF SURGICAL ASSISTANTS |
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