Larson, Paul Clay
Larson, Paul Clay is an individual health care provider with primary practice located at 3704 North Blvd Suite 1, Alexandria LA 71301-3606. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Larson, Paul Clay can be contacted via phone (318) 442-8399.Contact Information
Primary practice address
3704 North Blvd Suite 1
Alexandria LA 71301-3606
Phone: (318) 442-8399
Fax: (318) 448-9897
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 015700 | Louisiana |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 015700 | Louisiana |
Profile Details
| NPI number | 1093713323 |
|---|---|
| LBN Legal business name | Larson, Paul Clay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2005 |
| Last updated | May 9th, 2011 - about 14 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 | 1093713323 | NPPES |
| Louisiana | Other | 300083622 | RAILROAD MEDICARE |
| Louisiana | MEDICAID | 1321699 | RAILROAD MEDICARE |
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