Null, Danette B
Null, Danette B is an individual health care provider with primary practice located at 1525 Oak Park Blvd , Lake Charles LA 70601-8849. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Null, Danette B can be contacted via phone (337) 494-6767.Contact Information
Primary practice address
1525 Oak Park Blvd
Lake Charles LA 70601-8849
Phone: (337) 494-6767
Fax: (337) 494-6750
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD.201839 | Louisiana |
Profile Details
| NPI number | 1336129444 |
|---|---|
| LBN Legal business name | Null, Danette B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2006 |
| Last updated | Apr 28th, 2022 - about 4 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 | 1336129444 | NPPES |
| Louisiana | Other | MD.201839 | STATE LICENSE |
| Louisiana | MEDICAID | 1420930 | STATE LICENSE |
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