Odis, Megan

Odis, Megan is an sole proprietor health care provider with primary practice located at 2104 Cleco St , Mansura LA 71350-4451. She recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Odis, Megan can be contacted via phone (318) 964-2679.

Contact Information

Primary practice address
2104 Cleco St Mansura LA 71350-4451
Phone: (318) 964-2679
Fax: (318) 964-2683
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X Louisiana
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X Louisiana
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1750747556
LBN Legal business name Odis, Megan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2016
Last updated Jun 20th, 2023 - about 3 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 1750747556 NPPES
Louisiana Other 1679507412 NPI
Louisiana MEDICAID 1544761 NPI

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