Webb Detege, Tamika A

Webb Detege, Tamika A is an sole proprietor health care provider with primary practice located at 1514 Jefferson Hwy , New Orleans LA 70121. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Webb Detege, Tamika A can be contacted via phone (504) 842-4000.

Contact Information

Primary practice address
1514 Jefferson Hwy New Orleans LA 70121
Phone: (504) 842-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X MD201655 Louisiana

Profile Details

NPI number 1538353800
LBN Legal business name Webb Detege, Tamika A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2007
Last updated Jan 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 1538353800 NPPES
Mississippi MEDICAID 09805391
Mississippi MEDICAID 1015580
Mississippi MEDICAID 63140427

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