Deblanc, Theodore Wensel

Deblanc, Theodore Wensel is an individual health care provider with primary practice located at 1270 Attakapas Dr Ste 502 , Opelousas LA 70570-6530. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Deblanc, Theodore Wensel can be contacted via phone (337) 942-9977.

Contact Information

Primary practice address
1270 Attakapas Dr Ste 502 Opelousas LA 70570-6530
Fax: (337) 942-8006
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 017665 Louisiana

Profile Details

NPI number 1952506750
LBN Legal business name Deblanc, Theodore Wensel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2007
Last updated Jan 20th, 2010 - about 16 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 1952506750 NPPES
Louisiana MEDICAID 1371424

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