Roy, Clyde R
Roy, Clyde R is an individual health care provider with primary practice located at 602 N Lewis St Suite 400, New Iberia LA 70563-2093. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Roy, Clyde R can be contacted via phone (337) 365-4113.Contact Information
Primary practice address
602 N Lewis St Suite 400
New Iberia LA 70563-2093
Phone: (337) 365-4113
Fax: (307) 365-4115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 016789 | Louisiana |
Profile Details
| NPI number | 1720085699 |
|---|---|
| LBN Legal business name | Roy, Clyde R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720085699 | NPPES |
| Louisiana | MEDICAID | 1969290 |
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