Conner, Derek Sean
Conner, Derek Sean is an sole proprietor health care provider with primary practice located at 424 W Mcneese St , Lake Charles LA 70605-5547. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Conner, Derek Sean can be contacted via phone (337) 478-0511.Contact Information
Primary practice address
424 W Mcneese St
Lake Charles LA 70605-5547
Phone: (337) 478-0511
Fax: (337) 478-5644
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | RN085519 | Louisiana |
Profile Details
NPI number | 1487631578 |
---|---|
LBN Legal business name | Conner, Derek Sean |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 29th, 2005 |
Last updated | Jun 13th, 2022 - about 3 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 | 1487631578 | NPPES |
Louisiana | MEDICAID | 1431419 | |
Louisiana | Other | 430058291 |
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