Declouet, Mark
Declouet, Mark is an sole proprietor health care provider with primary practice located at 315 Audubon Blvd , Lafayette LA 70503-2610. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Declouet, Mark can be contacted via phone (337) 522-7573.Contact Information
Primary practice address
315 Audubon Blvd
Lafayette LA 70503-2610
Phone: (337) 522-7573
Fax: (337) 210-3058
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP08202 | Louisiana |
Profile Details
| NPI number | 1386925683 |
|---|---|
| LBN Legal business name | Declouet, Mark |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2011 |
| Last updated | Dec 29th, 2020 - about 6 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 | 1386925683 | NPPES |
| Louisiana | MEDICAID | 2386158 |
Popular Providers
-
Boudreaux, Kathleen Marie
2390 W Congress St , Lafayette LA 70506-4205 -
Richards, Cindy
523 Esplanade St , Lafayette LA 70508-3121 -
Threatts, Danielle Jackson
105 Independence Blvd Ste 1 , Lafayette LA 70506-8710 -
Guilbeau, Melissa
215 Rue Fountaine Suite 108, Lafayette LA 70508-5742 -
Dronette, Bryant Fabian
102 Asma Boulevard, Bldg #3 Suite 112, Lafayette LA 70508 -
Woodruff, Seth Michael
215 Rue Fontaine , Lafayette LA 70508-5742 -
Theriot, Rebecca B
800 Kaliste Saloom Rd , Lafayette LA 70508-4210 -
Mixon, Jonathan Lamont
106 Heymann Blvd , Lafayette LA 70503-2322