De La Paz, Marissa Ann

De La Paz, Marissa Ann is an individual health care provider with primary practice located at 1911 N 2Nd St , Cabot AR 72023-2209. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. De La Paz, Marissa Ann can be contacted via phone (501) 843-5757.

Contact Information

Primary practice address
1911 N 2Nd St Cabot AR 72023-2209
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 313288 Louisiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E-17929 Arkansas

Profile Details

NPI number 1871090456
LBN Legal business name De La Paz, Marissa Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2018
Last updated Jul 15th, 2024 - about 2 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 1871090456 NPPES
Louisiana MEDICAID 2467166

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