Bouquet, Mikki Smith
Bouquet, Mikki Smith is an individual health care provider with primary practice located at 8415 Goodwood Blvd Ste 202 , Baton Rouge LA 70806-7851. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bouquet, Mikki Smith can be contacted via phone (225) 765-8013.Contact Information
Primary practice address
8415 Goodwood Blvd Ste 202
Baton Rouge LA 70806-7851
Phone: (225) 765-8013
Fax: (225) 765-2033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | PGY.202956 | Louisiana |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 307924 | Louisiana |
Profile Details
| NPI number | 1144602590 |
|---|---|
| LBN Legal business name | Bouquet, Mikki Smith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2015 |
| Last updated | Feb 5th, 2024 - about 2 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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