Walls, Clarence

Walls, Clarence is an individual health care provider with primary practice located at 47082 Oak Creek Trce , Hammond LA 70401-3641. He recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Personal Care Attendant is his primary health care specialty. Walls, Clarence can be contacted via phone (985) 956-7111.

Contact Information

Primary practice address
47082 Oak Creek Trce Hammond LA 70401-3641
Phone: (985) 956-7111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Chore Provider 372500000X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X Louisiana

Profile Details

NPI number 1003564881
LBN Legal business name Walls, Clarence
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2022
Last updated Mar 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003564881 NPPES
Louisiana MEDICAID 1447824636

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