Esthetic Md
LBN: Esthetic Md
Esthetic Md is an health care organization with primary practice located at 3769 Pontchartrain Dr Ste 3 , Slidell LA 70458-4852. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Esthetic Md can be contacted via phone (985) 641-5476, or through Bonney, Jennifer Robin via phone (228) 254-0495.
Contact Information
Primary practice address
3769 Pontchartrain Dr Ste 3
Slidell LA 70458-4852
Phone: (985) 641-5476
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD016771 | Louisiana |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 16771 | Louisiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD.206408 | Louisiana |
Profile Details
| NPI number | 1235643891 |
|---|---|
| LBN Legal business name | Esthetic Md |
| DBA Doing business as | |
| Authorized official | Bonney, Jennifer Robin |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 18th, 2017 |
| Last updated | Nov 18th, 2017 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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