Conner, Derek Sean

Conner, Derek Sean is an sole proprietor health care provider with primary practice located at 424 W Mcneese St , Lake Charles LA 70605-5547. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Conner, Derek Sean can be contacted via phone (337) 478-0511.

Contact Information

Primary practice address
424 W Mcneese St Lake Charles LA 70605-5547
Phone: (337) 478-0511
Fax: (337) 478-5644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN085519 Louisiana

Profile Details

NPI number 1487631578
LBN Legal business name Conner, Derek Sean
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2005
Last updated Jun 13th, 2022 - 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 1487631578 NPPES
Louisiana MEDICAID 1431419
Louisiana Other 430058291

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