Harrell, Nicole Matths
Harrell, Nicole Matths is an individual health care provider with primary practice located at 5326 O'Dovan Drive , Baton Rouge LA 70808. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Harrell, Nicole Matths can be contacted via phone (512) 615-3280.Contact Information
Primary practice address
5326 O'Dovan Drive
Baton Rouge LA 70808
Phone: (512) 615-3280
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | P2489 | Texas |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD-202933 | Louisiana |
Profile Details
| NPI number | 1972763340 |
|---|---|
| LBN Legal business name | Harrell, Nicole Matths |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2008 |
| Last updated | Sep 15th, 2014 - about 12 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 | 1972763340 | NPPES |
| Louisiana | MEDICAID | 1096199 | |
| Louisiana | Other | 8DE581 |
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