Desper, Beatrice S.

Desper, Beatrice S. is an sole proprietor health care provider with primary practice located at 1120 N Causeway Blvd Suite 1, Mandeville LA 70471-3209. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Desper, Beatrice S. can be contacted via phone (985) 674-4434.

Contact Information

Primary practice address
1120 N Causeway Blvd Suite 1 Mandeville LA 70471-3209
Phone: (985) 674-4434
Fax: (985) 674-4374
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 15436R Louisiana

Profile Details

NPI number 1689647430
LBN Legal business name Desper, Beatrice S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2006
Last updated May 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689647430 NPPES
Louisiana Other 4K703CY96 MEDICARE INDIVIDUAL PTAN
Louisiana MEDICAID 1469742 MEDICARE INDIVIDUAL PTAN

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