Deyo, Jeffrey Elting
Deyo, Jeffrey Elting is an individual health care provider with primary practice located at 8300 Constantin Blvd , Baton Rouge LA 70809-3489. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is his primary health care specialty. Deyo, Jeffrey Elting can be contacted via phone (225) 763-6337.Contact Information
Primary practice address
8300 Constantin Blvd
Baton Rouge LA 70809-3489
Phone: (225) 763-6337
Fax: (225) 374-4661
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 15187R | Louisiana |
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 15187R | Louisiana |
Profile Details
| NPI number | 1619962032 |
|---|---|
| LBN Legal business name | Deyo, Jeffrey Elting |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Aug 31st, 2021 - about 5 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 | 1619962032 | NPPES |
| Louisiana | MEDICAID | 1193500 |
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