Clay, Roy G
Clay, Roy G is an individual health care provider with primary practice located at 4864 Jackson St , Monroe LA 71202-6400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Clay, Roy G can be contacted via phone (318) 330-7664.Contact Information
Primary practice address
4864 Jackson St
Monroe LA 71202-6400
Phone: (318) 330-7664
Fax: (318) 330-7648
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 02224R | Georgia |
Profile Details
| NPI number | 1457570186 |
|---|---|
| LBN Legal business name | Clay, Roy G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1457570186 | NPPES |
| Louisiana | MEDICAID | 1195626 |
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