Abraham, Joseph Nicholas

Abraham, Joseph Nicholas is an sole proprietor health care provider with primary practice located at 810 S Broadway St , Church Point LA 70525-4402. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Abraham, Joseph Nicholas can be contacted via phone (337) 684-4216.

Contact Information

Primary practice address
810 S Broadway St Church Point LA 70525-4402
Phone: (337) 684-4216
Fax: (337) 684-5449
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 07253R Louisiana
Allopathic & Osteopathic Physicians / General Practice 208D00000X 07253R Louisiana

Profile Details

NPI number 1629309000
LBN Legal business name Abraham, Joseph Nicholas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2010
Last updated Sep 23rd, 2016 - about 8 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 1629309000 NPPES
Louisiana MEDICAID 1373630

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