Deschutter, Mathieu W
Deschutter, Mathieu W is an individual health care provider with primary practice located at 4538 Constance St , New Orleans LA 70115-1528. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Deschutter, Mathieu W can be contacted via phone (504) 319-6668.Contact Information
Primary practice address
4538 Constance St
New Orleans LA 70115-1528
Phone: (504) 319-6668
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 026628 | Louisiana |
Profile Details
| NPI number | 1164583837 |
|---|---|
| LBN Legal business name | Deschutter, Mathieu W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Jul 2nd, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164583837 | NPPES |
| Louisiana | MEDICAID | 1062588 |
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