Stephens, Clinton
Stephens, Clinton is an sole proprietor health care provider with primary practice located at 2500 Belle Chasse Hwy , Terrytown LA 70056-7127. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Stephens, Clinton can be contacted via phone (504) 391-5157.Contact Information
Primary practice address
2500 Belle Chasse Hwy
Terrytown LA 70056-7127
Phone: (504) 391-5157
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | RN139455 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | AP08879 | Louisiana |
Profile Details
| NPI number | 1588028310 |
|---|---|
| LBN Legal business name | Stephens, Clinton |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 7th, 2016 |
| Last updated | Nov 4th, 2016 - about 10 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 | 1588028310 | NPPES |
| Mississippi | MEDICAID | 09523777 | |
| Mississippi | MEDICAID | 2428535 |
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