Landreaux, Shane C

Landreaux, Shane C is an individual health care provider with primary practice located at 1541 Tulane Ave Rm 505, New Orleans LA 70112-2821. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as his primary health care specialty. Landreaux, Shane C can be contacted via phone (877) 271-4597.

Contact Information

Primary practice address
1541 Tulane Ave Rm 505 New Orleans LA 70112-2821
Phone: (877) 271-4597
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X AP04669 Louisiana

Profile Details

NPI number 1104022011
LBN Legal business name Landreaux, Shane C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2007
Last updated Jul 8th, 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 1104022011 NPPES
Louisiana Other AP04669 STATE LICENSE NUMBER

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