Dupont, Paul Bradley

Dupont, Paul Bradley is an sole proprietor health care provider with primary practice located at 4020 Jackson Street Ext , Alexandria LA 71303-2701. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dupont, Paul Bradley can be contacted via phone (318) 442-4230.

Contact Information

Primary practice address
4020 Jackson Street Ext Alexandria LA 71303-2701
Fax: (318) 442-9537
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 978263T Louisiana

Profile Details

NPI number 1508071507
LBN Legal business name Dupont, Paul Bradley
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2007
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508071507 NPPES
Louisiana MEDICAID 1397997

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