Plaisance, Mary Hitchcock

Plaisance, Mary Hitchcock is an sole proprietor health care provider with primary practice located at 180 W Esplanade Ave , Kenner LA 70065-2467. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Plaisance, Mary Hitchcock can be contacted via phone (504) 842-3755.

Contact Information

Primary practice address
180 W Esplanade Ave Kenner LA 70065-2467
Phone: (504) 842-3755
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 200362 Louisiana

Profile Details

NPI number 1164736906
LBN Legal business name Plaisance, Mary Hitchcock
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2010
Last updated Jun 18th, 2015 - about 11 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 1164736906 NPPES
Louisiana MEDICAID 2164082
Louisiana MEDICAID 08224264

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