Simien, Anastatia Joy
Simien, Anastatia Joy is an individual health care provider with primary practice located at 2001 Nw Evangeline Trwy , Lafayette LA 70501-1927. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Simien, Anastatia Joy can be contacted via phone (225) 425-5122.Contact Information
Primary practice address
2001 Nw Evangeline Trwy
Lafayette LA 70501-1927
Phone: (225) 425-5122
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6912 | Louisiana |
| Dental Providers / Dentist | 122300000X | 2435 | Virgin Islands |
Profile Details
| NPI number | 1083155816 |
|---|---|
| LBN Legal business name | Simien, Anastatia Joy |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2017 |
| Last updated | Apr 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083155816 | NPPES |
| Louisiana | MEDICAID | 10271246 |
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