Caldwell, Susan Penton

Caldwell, Susan Penton is an sole proprietor health care provider with primary practice located at 4315 Houma Blvd Ste 401 , Metairie LA 70006-2941. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Caldwell, Susan Penton can be contacted via phone (504) 503-5123.

Contact Information

Primary practice address
4315 Houma Blvd Ste 401 Metairie LA 70006-2941
Phone: (504) 503-5123
Fax: (504) 503-5129
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 025102 Louisiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD025102 Louisiana

Profile Details

NPI number 1528055340
LBN Legal business name Caldwell, Susan Penton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2005
Last updated Apr 10th, 2024 - about last year

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 1528055340 NPPES
Louisiana MEDICAID 1420328
Louisiana MEDICAID 02980540

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