Fivgas, George Demetrios
Fivgas, George Demetrios is an individual health care provider with primary practice located at 7777 Hennessy Blvd Ste 3000, Baton Rouge LA 70808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Fivgas, George Demetrios can be contacted via phone (225) 768-9300.Contact Information
Primary practice address
7777 Hennessy Blvd Ste 3000
Baton Rouge LA 70808
Phone: (225) 768-9300
Fax: (225) 768-9363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 13263R | Louisiana |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 041428 | Georgia |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD13263R | Louisiana |
Profile Details
| NPI number | 1790787448 |
|---|---|
| LBN Legal business name | Fivgas, George Demetrios |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Feb 26th, 2008 - about 18 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 | 1790787448 | NPPES |
| Louisiana | MEDICAID | 1430315 |
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