Koubicek, Carmen Enid

Koubicek, Carmen Enid is an sole proprietor health care provider with primary practice located at 1270 Attakapas Dr Suite 401 K, Opelousas LA 70570. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Koubicek, Carmen Enid can be contacted via phone (337) 407-0084.

Contact Information

Primary practice address
1270 Attakapas Dr Suite 401 K Opelousas LA 70570
Phone: (337) 407-0084
Fax: (337) 407-0084
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 13448R Louisiana

Profile Details

NPI number 1992855282
LBN Legal business name Koubicek, Carmen Enid
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Jul 9th, 2007 - about 19 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 1992855282 NPPES
Louisiana Other 13448R STATE MED LICENSE
Louisiana Other 1900972 STATE MED LICENSE
Louisiana MEDICAID 1565911 STATE MED LICENSE

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