Licciardi, Joseph P
Licciardi, Joseph P is an sole proprietor health care provider with primary practice located at 3939 Houma Blvd Suite 18, Metairie LA 70006-2931. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Licciardi, Joseph P can be contacted via phone (504) 455-0093.Contact Information
Primary practice address
3939 Houma Blvd Suite 18
Metairie LA 70006-2931
Phone: (504) 455-0093
Fax: (504) 454-3964
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 008884 | Louisiana |
Profile Details
| NPI number | 1578512166 |
|---|---|
| LBN Legal business name | Licciardi, Joseph P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2006 |
| Last updated | Aug 3rd, 2010 - about 16 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 | 1578512166 | NPPES |
| Louisiana | MEDICAID | 1094749 |
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