Berthiaume, Michael

Berthiaume, Michael is an individual health care provider with primary practice located at 1990 Industrial Boulevard , Houma LA 70363-7055. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Berthiaume, Michael can be contacted via phone (985) 868-9300.

Contact Information

Primary practice address
1990 Industrial Boulevard Houma LA 70363-7055
Phone: (985) 868-9300
Fax: (985) 851-0053
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X A10615 Louisiana

Profile Details

NPI number 1285731455
LBN Legal business name Berthiaume, Michael
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jun 17th, 2009 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1285731455 NPPES
Louisiana MEDICAID 1626791

Popular Providers