Chaiban, Gassan Mitri
Chaiban, Gassan Mitri is an sole proprietor health care provider with primary practice located at 814 W Mcneese St Ste 100 , Lake Charles LA 70605-5426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Chaiban, Gassan Mitri can be contacted via phone (337) 602-8686.Contact Information
Primary practice address
814 W Mcneese St Ste 100
Lake Charles LA 70605-5426
Phone: (337) 602-8686
Fax: (337) 419-1997
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | MD.206152 | Louisiana |
Profile Details
| NPI number | 1861653842 |
|---|---|
| LBN Legal business name | Chaiban, Gassan Mitri |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2008 |
| Last updated | Aug 24th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861653842 | NPPES |
| Louisiana | MEDICAID | 2339869 | |
| Louisiana | MEDICAID | 05425346 |
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