Winston, Bob
Winston, Bob is an sole proprietor health care provider with primary practice located at 234 Rue Beauregard Suite 100, Lafayette LA 70508-3285. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Winston, Bob can be contacted via phone (337) 593-0830.Contact Information
Primary practice address
234 Rue Beauregard Suite 100
Lafayette LA 70508-3285
Phone: (337) 593-0830
Fax: (337) 593-0122
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 11569R | Louisiana |
Profile Details
| NPI number | 1619064367 |
|---|---|
| LBN Legal business name | Winston, Bob |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Jul 29th, 2010 - about 15 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 | 1619064367 | NPPES |
| Louisiana | MEDICAID | 1672025 |
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