Demesia, Susan M

Demesia, Susan M is an sole proprietor health care provider with primary practice located at 180 W Esplanade Ave 5Th Floor, Kenner LA 70065-2467. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Demesia, Susan M can be contacted via phone (504) 468-8600.

Contact Information

Primary practice address
180 W Esplanade Ave 5Th Floor Kenner LA 70065-2467
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP06596 Louisiana

Profile Details

NPI number 1083994263
LBN Legal business name Demesia, Susan M
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2011
Last updated Jul 5th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083994263 NPPES
Louisiana MEDICAID 2178423
Louisiana MEDICAID 06000067

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