Dantagnan, Frederick W

Dantagnan, Frederick W is an individual health care provider with primary practice located at 4228 Houma Blvd Ste 400, Metairie LA 70006-3000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Dantagnan, Frederick W can be contacted via phone (504) 889-5250.

Contact Information

Primary practice address
4228 Houma Blvd Ste 400 Metairie LA 70006-3000
Phone: (504) 889-5250
Fax: (504) 889-5288
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 024747 Louisiana

Profile Details

NPI number 1124091574
LBN Legal business name Dantagnan, Frederick W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Aug 7th, 2014 - about 11 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 1124091574 NPPES
Louisiana MEDICAID 1575208
Louisiana Other 4E268DH01

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