Bordelon, Paul Antoine
Bordelon, Paul Antoine is an individual health care provider with primary practice located at 6920 Plank Rd , Baton Rouge LA 70811-6041. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Bordelon, Paul Antoine can be contacted via phone (225) 356-0654.Contact Information
Primary practice address
6920 Plank Rd
Baton Rouge LA 70811-6041
Phone: (225) 356-0654
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PST.013301 | Louisiana |
Profile Details
| NPI number | 1003317322 |
|---|---|
| LBN Legal business name | Bordelon, Paul Antoine |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2018 |
| Last updated | Feb 22nd, 2018 - about 8 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 | 1003317322 | NPPES |
| Louisiana | Other | PST.013301 | LOUISIANA BOARD OF PHARMACY |
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