Garrett, Maynard Ernest
Garrett, Maynard Ernest is an sole proprietor health care provider with primary practice located at 985 Robert Blvd Ste 104 , Slidell LA 70458-2063. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Garrett, Maynard Ernest can be contacted via phone (985) 847-1995.Contact Information
Primary practice address
985 Robert Blvd Ste 104
Slidell LA 70458-2063
Phone: (985) 847-1995
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 12053 | Louisiana |
Profile Details
| NPI number | 1275552986 |
|---|---|
| LBN Legal business name | Garrett, Maynard Ernest |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1275552986 | NPPES |
| Louisiana | MEDICAID | 1139572 | |
| Louisiana | Other | 12053 | |
| Louisiana | Other | 1275552986 |
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