Mayeux, Mary Angela
Mayeux, Mary Angela is an sole proprietor health care provider with primary practice located at 4212 W Congress St Ste 3100 , Lafayette LA 70506-6771. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Mayeux, Mary Angela can be contacted via phone (337) 703-3201.Contact Information
Primary practice address
4212 W Congress St Ste 3100
Lafayette LA 70506-6771
Phone: (337) 703-3201
Fax: (337) 703-3202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 019577 | Louisiana |
Profile Details
| NPI number | 1518965102 |
|---|---|
| LBN Legal business name | Mayeux, Mary Angela |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Sep 19th, 2019 - about 7 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 | 1518965102 | NPPES |
| Louisiana | MEDICAID | 1379425 |
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