Deepblue Wellness Llc

LBN: Deepblue Wellness Llc
Deepblue Wellness Llc is an health care organization with primary practice located at 4421 Conlin St Ste 101 , Metairie LA 70006-2145. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, which is considered as the primary health care specialty. Deepblue Wellness Llc can be contacted via phone (337) 643-8424, or through Vergara, Nicolas via phone (504) 275-4489.

Contact Information

Primary practice address
4421 Conlin St Ste 101 Metairie LA 70006-2145
Phone: (337) 643-8424
Fax: (337) 643-8407
Website:
Map and Directions
Authorized official contact:
Name: Vergara, Nicolas Doctor of Medicine (MD)
Phone: (504) 275-4489

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry 2084B0040X MD.204964 Louisiana

Profile Details

NPI number 1518460211
LBN Legal business name Deepblue Wellness Llc
DBA Doing business as
Authorized official Vergara, Nicolas Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 9th, 2018
Last updated Mar 9th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518460211 NPPES
Louisiana MEDICAID 1507814

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