Glade, Louis B
Glade, Louis B is an individual health care provider with primary practice located at 1111 Medical Center Blvd N613, Marrero LA 70072-3151. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Glade, Louis B can be contacted via phone (504) 349-6800.Contact Information
Primary practice address
1111 Medical Center Blvd N613
Marrero LA 70072-3151
Phone: (504) 349-6800
Fax: (504) 349-6621
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 16618 | Louisiana |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 016618 | Louisiana |
Profile Details
| NPI number | 1265498869 |
|---|---|
| LBN Legal business name | Glade, Louis B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2006 |
| Last updated | Mar 5th, 2015 - about 10 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 | 1265498869 | NPPES |
| Louisiana | MEDICAID | 1328073 |
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