Chandler, Clay Steven
Chandler, Clay Steven is an sole proprietor health care provider with primary practice located at 3839 W Congress St Ste C , Lafayette LA 70506-6000. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Chandler, Clay Steven can be contacted via phone (337) 984-0403.Contact Information
Primary practice address
3839 W Congress St Ste C
Lafayette LA 70506-6000
Phone: (337) 984-0403
Fax: (337) 981-9006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 5469 | Louisiana |
Profile Details
| NPI number | 1801068978 |
|---|---|
| LBN Legal business name | Chandler, Clay Steven |
| Credentials | DDS, MD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2008 |
| Last updated | Jun 24th, 2016 - about 8 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 | 1801068978 | NPPES |
| Louisiana | MEDICAID | 1065960 |
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