Barze, Gwendolyn

Barze, Gwendolyn is an sole proprietor health care provider with primary practice located at 2245 Manhattan Blvd Suite 120, Harvey LA 70058-3580. She recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as her primary health care specialty. Barze, Gwendolyn can be contacted via phone (504) 368-5937.

Contact Information

Primary practice address
2245 Manhattan Blvd Suite 120 Harvey LA 70058-3580
Phone: (504) 368-5937
Fax: (504) 366-0718
Website:
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Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 12053 Louisiana
Managed Care Organizations / Preferred Provider Organization 305R00000X 12054 Louisiana

Profile Details

NPI number 1710100888
LBN Legal business name Barze, Gwendolyn
Credentials HOME CARE PROVIDER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2007
Last updated Oct 5th, 2010 - about 16 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 1710100888 NPPES
Louisiana MEDICAID 56-2497257

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