Fruge, Mary Beth
Fruge, Mary Beth is an individual health care provider with primary practice located at 4801 Ambassador Caffery Pkwy , Lafayette LA 70508-6917. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fruge, Mary Beth can be contacted via phone (337) 470-2605.Contact Information
Primary practice address
4801 Ambassador Caffery Pkwy
Lafayette LA 70508-6917
Phone: (337) 470-2605
Fax: (337) 470-4595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA.200467 | Louisiana |
Profile Details
| NPI number | 1497034623 |
|---|---|
| LBN Legal business name | Fruge, Mary Beth |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2011 |
| Last updated | Dec 30th, 2020 - about 4 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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