Privett, Thomas A

Privett, Thomas A is an individual health care provider with primary practice located at 4811 Ambassador Caffery Pkwy Ste 401B , Lafayette LA 70508-7265. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Privett, Thomas A can be contacted via phone (337) 470-4978.

Contact Information

Primary practice address
4811 Ambassador Caffery Pkwy Ste 401B Lafayette LA 70508-7265
Phone: (337) 470-4978
Fax: (337) 470-4238
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 23118 South Carolina
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 021911 Louisiana

Profile Details

NPI number 1285632638
LBN Legal business name Privett, Thomas A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Oct 25th, 2021 - about 5 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 1285632638 NPPES
South Carolina MEDICAID T74087

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