Tarantino, Michael Jude

Tarantino, Michael Jude is an sole proprietor health care provider with primary practice located at 108 Arbor Ln , New Iberia LA 70563-2822. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Tarantino, Michael Jude can be contacted via phone (337) 365-5881.

Contact Information

Primary practice address
108 Arbor Ln New Iberia LA 70563-2822
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 010736 Louisiana

Profile Details

NPI number 1750382784
LBN Legal business name Tarantino, Michael Jude
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2005
Last updated Dec 9th, 2008 - about 18 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 1750382784 NPPES
Louisiana MEDICAID 1136042

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