Deck, Robert E
Deck, Robert E is an individual health care provider with primary practice located at 4720 S. I-10 Service Rd. W Suite 206, Metairie LA 70001-1240. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Deck, Robert E can be contacted via phone (504) 455-7999.Contact Information
Primary practice address
4720 S. I-10 Service Rd. W Suite 206
Metairie LA 70001-1240
Phone: (504) 455-7999
Fax: (504) 455-7920
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | MD.014148 | Louisiana |
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD.014148 | Louisiana |
Profile Details
NPI number | 1386655967 |
---|---|
LBN Legal business name | Deck, Robert E |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 10th, 2006 |
Last updated | Apr 19th, 2017 - about 8 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 | 1386655967 | NPPES |
Louisiana | MEDICAID | 1309320 | |
Louisiana | Other | 160008291 | |
Louisiana | Other | 4367221000 | |
Louisiana | Other | 721152574 | |
Louisiana | Other | 0689219 |
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