Boustany, Rita

Boustany, Rita is an sole proprietor health care provider with primary practice located at Pediatrix - 4600 Ambassador Caffery , Lafayette LA 70508. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Boustany, Rita can be contacted via phone (337) 330-0031.

Contact Information

Primary practice address
Pediatrix - 4600 Ambassador Caffery Lafayette LA 70508
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 37117 Iowa
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD.203808 Louisiana

Profile Details

NPI number 1528183068
LBN Legal business name Boustany, Rita
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2007
Last updated Oct 1st, 2020 - about 5 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 1528183068 NPPES
Louisiana MEDICAID 2116436

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