Acosta, Sally Elizabeth

Acosta, Sally Elizabeth is an sole proprietor health care provider with primary practice located at 225 Inspiration Ln , Covington LA 70433-7420. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Acosta, Sally Elizabeth can be contacted via phone (985) 259-3557.

Contact Information

Primary practice address
225 Inspiration Ln Covington LA 70433-7420
Phone: (985) 259-3557
Fax: (985) 893-8742
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X MDW.200006 Louisiana

Profile Details

NPI number 1730458621
LBN Legal business name Acosta, Sally Elizabeth
Credentials CPM, LM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2011
Last updated Dec 21st, 2011 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1730458621 NPPES
Louisiana Other MDW.200006 LOUISIANA LICENSE FROM BOARD OF MEDICAL EXAMINERS
Louisiana Other 11030033 LOUISIANA LICENSE FROM BOARD OF MEDICAL EXAMINERS

Popular Providers