Dominique, Colette
Dominique, Colette is an sole proprietor health care provider with primary practice located at 4429 Clara St , New Orleans LA 70115-6902. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Dominique, Colette can be contacted via phone (504) 842-9885.Contact Information
Primary practice address
4429 Clara St
New Orleans LA 70115-6902
Phone: (504) 842-9885
Fax: (504) 842-9836
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | L9182 | Texas |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 303382 | Louisiana |
Profile Details
| NPI number | 1598768749 |
|---|---|
| LBN Legal business name | Dominique, Colette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2005 |
| Last updated | Mar 4th, 2021 - about 3 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 | 1598768749 | NPPES |
| Texas | Other | 8AJ839 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 168588501 | BLUE CROSS BLUE SHIELD |
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