Superneau, Duane William

Superneau, Duane William is an individual health care provider with primary practice located at 8415 Goodwood Blvd Suite 202 B, Baton Rouge LA 70806-7851. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is his primary health care specialty. Superneau, Duane William can be contacted via phone (225) 765-8988.

Contact Information

Primary practice address
8415 Goodwood Blvd Suite 202 B Baton Rouge LA 70806-7851
Phone: (225) 765-8988
Fax: (225) 765-1173
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 14531 Louisiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD014531 Louisiana
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X MD.014531 Louisiana

Profile Details

NPI number 1427018274
LBN Legal business name Superneau, Duane William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Apr 27th, 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 1427018274 NPPES
Mississippi MEDICAID 00119789
Mississippi MEDICAID 1907421

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