Clayton, Daniel Raydell

Clayton, Daniel Raydell is an individual health care provider with primary practice located at 1022 Belanger St , Houma LA 70360-4412. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Clayton, Daniel Raydell can be contacted via phone (985) 223-3132.

Contact Information

Primary practice address
1022 Belanger St Houma LA 70360-4412
Phone: (985) 223-3132
Fax: (985) 223-3126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X A10531.RX Louisiana

Profile Details

NPI number 1629046586
LBN Legal business name Clayton, Daniel Raydell
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Dec 13th, 2012 - about 13 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 1629046586 NPPES
Louisiana MEDICAID 1625922

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