Cousin, George B
Cousin, George B is an individual health care provider with primary practice located at 2309 E Main St Ste 400, New Iberia LA 70560-4046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cousin, George B can be contacted via phone (337) 367-0271.Contact Information
Primary practice address
2309 E Main St Ste 400
New Iberia LA 70560-4046
Phone: (337) 367-0271
Fax: (337) 364-6139
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 016174 | Louisiana |
Profile Details
| NPI number | 1275532186 |
|---|---|
| LBN Legal business name | Cousin, George B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Jul 23rd, 2012 - about 13 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 | 1275532186 | NPPES |
| Louisiana | MEDICAID | 1339814 |
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