Desselle, Bonnie Claire
Desselle, Bonnie Claire is an individual health care provider with primary practice located at Pediatric Pulmonary And Critical Care Associates 200 Henry Clay Ave, New Orleans LA 70119. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Desselle, Bonnie Claire can be contacted via phone (504) 896-9263.Contact Information
Primary practice address
Pediatric Pulmonary And Critical Care Associates 200 Henry Clay Ave
New Orleans LA 70119
Phone: (504) 896-9263
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 019870 | Louisiana |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 019870 | Louisiana |
Profile Details
| NPI number | 1942223862 |
|---|---|
| LBN Legal business name | Desselle, Bonnie Claire |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Dec 15th, 2010 - about 14 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 | 1942223862 | NPPES |
| Louisiana | MEDICAID | 1661473 | |
| Louisiana | MEDICAID | 00126659 |
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