Ambrose, Patrice Michelle
Ambrose, Patrice Michelle is an individual health care provider with primary practice located at 302 Dulles Dr , Lafayette LA 70506-3008. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Ambrose, Patrice Michelle can be contacted via phone (337) 262-4100.Contact Information
Primary practice address
302 Dulles Dr
Lafayette LA 70506-3008
Phone: (337) 262-4100
Fax: (337) 262-4160
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD.09732R | Louisiana |
Profile Details
| NPI number | 1184759664 |
|---|---|
| LBN Legal business name | Ambrose, Patrice Michelle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2007 |
| Last updated | Jan 12th, 2017 - about 9 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 | 1184759664 | NPPES |
| Louisiana | Other | 09732R | MEDICAL LISCENSE |
| Louisiana | MEDICAID | 1993778 | MEDICAL LISCENSE |
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