Dauterive, Edward W

Dauterive, Edward W is an individual health care provider with primary practice located at 1100 Andre St , New Iberia LA 70563-2159. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Dauterive, Edward W can be contacted via phone (337) 369-9309.

Contact Information

Primary practice address
1100 Andre St New Iberia LA 70563-2159
Phone: (337) 369-9309
Fax: (337) 365-8455
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 014729 Louisiana
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 014729 Louisiana

Profile Details

NPI number 1538151451
LBN Legal business name Dauterive, Edward W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Jun 27th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1538151451 NPPES
Louisiana MEDICAID 1339334

Popular Providers