Cormier, Michael Eddie

Cormier, Michael Eddie is an sole proprietor health care provider with primary practice located at 2000 Tybee St , Lake Charles LA 70605-4171. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Cormier, Michael Eddie can be contacted via phone (337) 433-7272.

Contact Information

Primary practice address
2000 Tybee St Lake Charles LA 70605-4171
Fax: (337) 433-0730
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 014726 Louisiana

Profile Details

NPI number 1003895756
LBN Legal business name Cormier, Michael Eddie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2006
Last updated Sep 12th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003895756 NPPES
Louisiana MEDICAID 1360660

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