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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942223862 NPPES
Louisiana MEDICAID 1661473
Louisiana MEDICAID 00126659

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