Cousins, Gwen Marie

Cousins, Gwen Marie is an individual health care provider with primary practice located at 4315 Houma Blvd Suite 201, Metairie LA 70006-2940. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is her primary health care specialty. Cousins, Gwen Marie can be contacted via phone (504) 895-3961.

Contact Information

Primary practice address
4315 Houma Blvd Suite 201 Metairie LA 70006-2940
Phone: (504) 895-3961
Fax: (504) 888-6045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 024983 Louisiana
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 024983 Louisiana

Profile Details

NPI number 1336194828
LBN Legal business name Cousins, Gwen Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jan 15th, 2020 - about 5 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 1336194828 NPPES
Louisiana MEDICAID 1421251

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