Suarez, Bonadelvert C

Suarez, Bonadelvert C is an individual health care provider with primary practice located at 42421 Pelican Professional Park , Hammond LA 70403-2405. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Pediatric Urology is his primary health care specialty. Suarez, Bonadelvert C can be contacted via phone (985) 542-1317.

Contact Information

Primary practice address
42421 Pelican Professional Park Hammond LA 70403-2405
Phone: (985) 542-1317
Fax: (985) 542-1958
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD.04720R Louisiana
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X MD04720R Louisiana

Profile Details

NPI number 1871597443
LBN Legal business name Suarez, Bonadelvert C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Oct 3rd, 2008 - about 17 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 1871597443 NPPES
Louisiana MEDICAID 1313033

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