Declouet, Matthew Alexander

Declouet, Matthew Alexander is an sole proprietor health care provider with primary practice located at 302 La Rue France Ste 202 , Lafayette LA 70508-3133. 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, Matthew Alexander can be contacted via phone (337) 534-0971.

Contact Information

Primary practice address
302 La Rue France Ste 202 Lafayette LA 70508-3133
Phone: (337) 534-0971
Fax: (337) 534-0974
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP08470 Louisiana

Profile Details

NPI number 1518342310
LBN Legal business name Declouet, Matthew Alexander
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2015
Last updated Apr 18th, 2023 - about 3 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 1518342310 NPPES
Louisiana MEDICAID 2411608

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