Wells, Tina Trahan
Wells, Tina Trahan is an individual health care provider with primary practice located at 17520 Old Jefferson Hwy Ste. B, Prairieville LA 70769-3929. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wells, Tina Trahan can be contacted via phone (225) 673-8983.Contact Information
Primary practice address
17520 Old Jefferson Hwy Ste. B
Prairieville LA 70769-3929
Phone: (225) 673-8983
Fax: (225) 677-8983
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D22798 | Louisiana |
Profile Details
| NPI number | 1134126410 |
|---|---|
| LBN Legal business name | Wells, Tina Trahan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Mar 8th, 2012 - about 14 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 | 1134126410 | NPPES |
| Louisiana | MEDICAID | 1664987 | |
| Louisiana | Other | 080137693 |
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