Fortier, Hollan Deshotel

Fortier, Hollan Deshotel is an individual health care provider with primary practice located at 1119 N Main St , Saint Martinville LA 70582-3513. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fortier, Hollan Deshotel can be contacted via phone (337) 394-7774.

Contact Information

Primary practice address
1119 N Main St Saint Martinville LA 70582-3513
Phone: (337) 394-7774
Fax: (337) 394-8015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP07698 Louisiana

Profile Details

NPI number 1336564533
LBN Legal business name Fortier, Hollan Deshotel
Credentials APRN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2014
Last updated Sep 10th, 2016 - about 10 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 1336564533 NPPES
Louisiana MEDICAID 2359231

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