Defelice, Sandra F
Defelice, Sandra F is an individual health care provider with primary practice located at 10101 Park Rowe Ave Suite 200, Baton Rouge LA 70810-1686. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Defelice, Sandra F can be contacted via phone (225) 769-2200.Contact Information
Primary practice address
10101 Park Rowe Ave Suite 200
Baton Rouge LA 70810-1686
Phone: (225) 769-2200
Fax: (225) 768-2185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | A20094 | Louisiana |
Profile Details
| NPI number | 1750370870 |
|---|---|
| LBN Legal business name | Defelice, Sandra F |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Mar 28th, 2008 - about 17 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 | 1750370870 | NPPES |
| Louisiana | MEDICAID | 1625850 |
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