Ezell, Eryn
Ezell, Eryn is an individual health care provider with primary practice located at 106 Heymann Blvd , Lafayette LA 70503-2322. She recently has only one registered license in Allopathic & Osteopathic Physicians / Phlebology, which is considered as her primary health care specialty. Ezell, Eryn can be contacted via phone (337) 504-4279.Contact Information
Primary practice address
106 Heymann Blvd
Lafayette LA 70503-2322
Phone: (337) 504-4279
Fax: (337) 504-4692
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Phlebology | 202K00000X | 1072852 | Louisiana |
Profile Details
| NPI number | 1568080166 |
|---|---|
| LBN Legal business name | Ezell, Eryn |
| Credentials | NCPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2020 |
| Last updated | Jul 9th, 2020 - about 5 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 | 1568080166 | NPPES |
| Louisiana | Other | 1072852 | NCCT |
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