Dewenter, Tracy A
Dewenter, Tracy A is an individual health care provider with primary practice located at 2021 Perdido St , New Orleans LA 70112-1352. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Dewenter, Tracy A can be contacted via phone (504) 568-2315.Contact Information
Primary practice address
2021 Perdido St
New Orleans LA 70112-1352
Phone: (504) 568-2315
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 026496 | Louisiana |
Profile Details
| NPI number | 1508052747 |
|---|---|
| LBN Legal business name | Dewenter, Tracy A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2007 |
| Last updated | Nov 17th, 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 | 1508052747 | NPPES |
| Louisiana | MEDICAID | 1062545 |
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