Campos, Luis O
Campos, Luis O is an individual health care provider with primary practice located at 5760 Monticello Drive , St Gabriel LA 70776. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Campos, Luis O can be contacted via phone (225) 642-9676.Contact Information
Primary practice address
5760 Monticello Drive
St Gabriel LA 70776
Phone: (225) 642-9676
Fax: (225) 642-9696
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3860 | Louisiana |
Profile Details
| NPI number | 1295890408 |
|---|---|
| LBN Legal business name | Campos, Luis O |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Jun 2nd, 2008 - about 18 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 | 1295890408 | NPPES |
| Louisiana | MEDICAID | 1117226 |
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