Odom, Leandre W.
Odom, Leandre W. is an sole proprietor health care provider with primary practice located at 2313 E Main St Suite B, New Iberia LA 70560-4091. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Odom, Leandre W. can be contacted via phone (337) 560-5323.Contact Information
Primary practice address
2313 E Main St Suite B
New Iberia LA 70560-4091
Phone: (337) 560-5323
Fax: (337) 560-4666
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 025417 | Louisiana |
Profile Details
| NPI number | 1003846809 |
|---|---|
| LBN Legal business name | Odom, Leandre W. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Jul 6th, 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 | 1003846809 | NPPES |
| Louisiana | MEDICAID | 1576271 |
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