Stelly, Deidre L.
Stelly, Deidre L. is an individual health care provider with primary practice located at 548 Lakes Blvd , Breaux Bridge LA 70517-3248. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Stelly, Deidre L. can be contacted via phone (337) 332-0661.Contact Information
Primary practice address
548 Lakes Blvd
Breaux Bridge LA 70517-3248
Phone: (337) 332-0661
Fax: (337) 332-0651
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 022380 | Louisiana |
Profile Details
| NPI number | 1144218868 |
|---|---|
| LBN Legal business name | Stelly, Deidre L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Apr 20th, 2017 - about 9 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 | 1144218868 | NPPES |
| Louisiana | MEDICAID | 1677655 |
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