Reid, Charla Stagg

Reid, Charla Stagg is an individual health care provider with primary practice located at 108 6Th Avenue , Kinder LA 70648-3519. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Reid, Charla Stagg can be contacted via phone (337) 738-4676.

Contact Information

Primary practice address
108 6Th Avenue Kinder LA 70648-3519
Phone: (337) 738-4676
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 686054 Texas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP06482/RN101079 Louisiana

Profile Details

NPI number 1831218650
LBN Legal business name Reid, Charla Stagg
Credentials APRN PNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Jan 22nd, 2014 - about 12 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 1831218650 NPPES
Louisiana MEDICAID 2155971

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