Deback, John
Deback, John is an individual health care provider with primary practice located at 7777 Hennessy Blvd Suite 6000, Baton Rouge LA 70808-4300. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Deback, John can be contacted via phone (225) 765-8648.Contact Information
Primary practice address
7777 Hennessy Blvd Suite 6000
Baton Rouge LA 70808-4300
Phone: (225) 765-8648
Fax: (225) 765-7898
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 017013 | Louisiana |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 17013 | Louisiana |
Profile Details
| NPI number | 1689674053 |
|---|---|
| LBN Legal business name | Deback, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Mar 25th, 2021 - about 4 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 | 1689674053 | NPPES |
| Louisiana | MEDICAID | 1356387 |
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