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
Phone: (337) 330-0031
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528183068 | NPPES |
Louisiana | MEDICAID | 2116436 |
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