Mehaffie, Douglas
Mehaffie, Douglas is an sole proprietor health care provider with primary practice located at 148 Wall Blvd , Gretna LA 70056-7107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mehaffie, Douglas can be contacted via phone (504) 393-2775.Contact Information
Primary practice address
148 Wall Blvd
Gretna LA 70056-7107
Phone: (504) 393-2775
Fax: (504) 393-2744
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 024334 | Louisiana |
Profile Details
| NPI number | 1851393078 |
|---|---|
| LBN Legal business name | Mehaffie, Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Apr 23rd, 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 | 1851393078 | NPPES |
| Louisiana | MEDICAID | 1545929 |
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