Baumbouree, Derek B

Baumbouree, Derek B is an individual health care provider with primary practice located at 324 E Farrel Rd , Lafayette LA 70508-6928. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Baumbouree, Derek B can be contacted via phone (337) 984-2444.

Contact Information

Primary practice address
324 E Farrel Rd Lafayette LA 70508-6928
Phone: (337) 984-2444
Fax: (337) 988-8885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 022823 Louisiana

Profile Details

NPI number 1265430995
LBN Legal business name Baumbouree, Derek B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jan 11th, 2021 - about 4 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 1265430995 NPPES
Louisiana MEDICAID 1493708

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