Ross, Clinton
Ross, Clinton is an individual health care provider with primary practice located at 2686 Newberry Station Dr , Lake Charles LA 70611-3984. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Ross, Clinton can be contacted via phone (337) 485-7600.Contact Information
Primary practice address
2686 Newberry Station Dr
Lake Charles LA 70611-3984
Phone: (337) 485-7600
Fax: (337) 485-7700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME161304 | Florida |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 309749 | Louisiana |
Profile Details
| NPI number | 1649700527 |
|---|---|
| LBN Legal business name | Ross, Clinton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2017 |
| Last updated | Apr 7th, 2025 - about last year |
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 | 1649700527 | NPPES |
| Louisiana | MEDICAID | 1551228 | |
| Louisiana | Other | 1063569648 | |
| Louisiana | MEDICAID | 2470299 | |
| Louisiana | MEDICAID | 119512900 |
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