Van Deventer, Paul Matthews
Van Deventer, Paul Matthews is an individual health care provider with primary practice located at 2330 N Causeway Blvd , Mandeville LA 70471-6402. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Van Deventer, Paul Matthews can be contacted via phone (985) 674-1700.Contact Information
Primary practice address
2330 N Causeway Blvd
Mandeville LA 70471-6402
Phone: (985) 674-1700
Fax: (985) 674-1722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 10083R | Louisiana |
Profile Details
| NPI number | 1730184193 |
|---|---|
| LBN Legal business name | Van Deventer, Paul Matthews |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1730184193 | NPPES |
| Louisiana | MEDICAID | 1531278 |
Popular Providers
-
Yavorek, Henry George
One Commerce Ave , Selinsgrove PA 17870-8920 -
Duet-Champagne, Dana
633 Asbury Dr Ste A , Mandeville LA 70471-6511 -
Dennis, Mark Stephen
235 Saint Ann Dr Suite 2, Mandeville LA 70471-3396 -
Garrison, Judie Lynne
400 Spring Forest Rd , Greenville NC 27834-7244 -
Hart, Jemina Haydee
67070 Dolan St , Mandeville LA 70471-6919 -
Carter, Susan P
1740 N Causeway Blvd , Mandeville LA 70471-3110 -
Salvant, Amy
125 Louise Dr , Mandeville LA 70448-3437 -
Tusa, Joseph Eugene
3916 Highway 22 Suite 1, Mandeville LA 70471-7306