Hendricks, Clifford Alva
Hendricks, Clifford Alva is an individual health care provider with primary practice located at 3434 Prytania St Suite 250, New Orleans LA 70115-3532. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Hendricks, Clifford Alva can be contacted via phone (504) 891-1988.Contact Information
Primary practice address
3434 Prytania St Suite 250
New Orleans LA 70115-3532
Phone: (504) 891-1988
Fax: (504) 899-1895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 18445 | Louisiana |
Profile Details
| NPI number | 1952341216 |
|---|---|
| LBN Legal business name | Hendricks, Clifford Alva |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Jan 31st, 2008 - about 16 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 | 1952341216 | NPPES |
| Louisiana | Other | CI2603 | RAILROAD MEDICARE |
| Louisiana | MEDICAID | 1378640 | RAILROAD MEDICARE |
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