Doerle, Edward Avery

Doerle, Edward Avery is an individual health care provider with primary practice located at 1220 Berard St Ste B , Breaux Bridge LA 70517-4865. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Doerle, Edward Avery can be contacted via phone (337) 332-6120.

Contact Information

Primary practice address
1220 Berard St Ste B Breaux Bridge LA 70517-4865
Phone: (337) 332-6120
Fax: (337) 332-5537
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 08287 Louisiana

Profile Details

NPI number 1881953933
LBN Legal business name Doerle, Edward Avery
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2012
Last updated May 10th, 2012 - about 14 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 1881953933 NPPES
Louisiana Other 08287 LA PHYSICAL THERAPY ASSOCIATION

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