Loucks, Clay Ashley
Loucks, Clay Ashley is an individual health care provider with primary practice located at 11020 Hull Street Rd , Midlothian VA 23112-3200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Loucks, Clay Ashley can be contacted via phone (804) 744-6310.Contact Information
Primary practice address
11020 Hull Street Rd
Midlothian VA 23112-3200
Phone: (804) 744-6310
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101231696 | Virginia |
Profile Details
| NPI number | 1104891753 |
|---|---|
| LBN Legal business name | Loucks, Clay Ashley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Feb 17th, 2022 - about 2 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 | 1104891753 | NPPES |
| Virginia | MEDICAID | 010003211 |
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