Clayton, Charles Lamar

Clayton, Charles Lamar is an individual health care provider with primary practice located at 1848 Vineland Ln , Tallahassee FL 32317-7924. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Clayton, Charles Lamar can be contacted via phone (850) 519-1113.

Contact Information

Primary practice address
1848 Vineland Ln Tallahassee FL 32317-7924
Phone: (850) 519-1113
Fax: (850) 656-5549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP1859402 Florida

Profile Details

NPI number 1609848894
LBN Legal business name Clayton, Charles Lamar
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Feb 5th, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609848894 NPPES
Florida MEDICAID 305526400
Florida Other G0150
Florida Other P00352522

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