Daigle, Clyde Leland

Daigle, Clyde Leland is an individual health care provider with primary practice located at 100 N Prater St , Lake Charles LA 70601-2649. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Daigle, Clyde Leland can be contacted via phone (337) 439-0886.

Contact Information

Primary practice address
100 N Prater St Lake Charles LA 70601-2649
Phone: (337) 439-0886
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN071430 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP03189 Louisiana

Profile Details

NPI number 1508010547
LBN Legal business name Daigle, Clyde Leland
Credentials MSRN, CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2008
Last updated Aug 28th, 2015 - about 9 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 1508010547 NPPES
Louisiana MEDICAID 1532703

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