Burbank, Deregal Fay
Burbank, Deregal Fay is an individual health care provider with primary practice located at 120 Meadowcrest St. Suite 245, Gretna LA 70056. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Burbank, Deregal Fay can be contacted via phone (504) 391-7690.Contact Information
Primary practice address
120 Meadowcrest St. Suite 245
Gretna LA 70056
Phone: (504) 391-7690
Fax: (504) 391-7625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 016402 | Louisiana |
Profile Details
| NPI number | 1629244132 |
|---|---|
| LBN Legal business name | Burbank, Deregal Fay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2008 |
| Last updated | Jul 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629244132 | NPPES |
| Louisiana | MEDICAID | 1324230 |
Popular Providers
-
Anand, Tina
151 Ochsner Blvd Ste F , Gretna LA 70056-5256 -
Frazier, Erin Richey
230 E Broadway , Louisville KY 40202-2026 -
Nguyen, Hai Nam
315 Westbank Expy , Gretna LA 70053-5616 -
Anand, Harish C
120 Meadowcrest St Suite 245, Gretna LA 70056-5255 -
Valentine, Christy Lynn
145 Lapalco Blvd Suite B, Gretna LA 70056-7149 -
Kautzman, Michele
441 Wall Blvd , Gretna LA 70056-7723 -
Jewell-Mahler, Victoria
1600 Coraopolis Heights Rd Ste E, Moon Twp PA 15108-4316 -
Thaly, Kamalakant Govind
151 Meadowcrest St Suite F, Gretna LA 70056