Dimitri, Elizabeth M
Dimitri, Elizabeth M is an sole proprietor health care provider with primary practice located at 2104 Gause Blvd W Ste. A, Slidell LA 70460-4130. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Dimitri, Elizabeth M can be contacted via phone (985) 643-4575.Contact Information
Primary practice address
2104 Gause Blvd W Ste. A
Slidell LA 70460-4130
Phone: (985) 643-4575
Fax: (985) 643-4513
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 14885R | Louisiana |
Profile Details
| NPI number | 1285700732 |
|---|---|
| LBN Legal business name | Dimitri, Elizabeth M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 27th, 2006 |
| Last updated | Dec 6th, 2023 - about last year |
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 | 1285700732 | NPPES |
| Louisiana | MEDICAID | 1150126 | |
| Louisiana | MEDICAID | 09685205 |
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