Guillory, David Paul

Guillory, David Paul is an individual health care provider with primary practice located at 1747 Imperial Blvd , Lake Charles LA 70605-5362. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Guillory, David Paul can be contacted via phone (337) 721-7236.

Contact Information

Primary practice address
1747 Imperial Blvd Lake Charles LA 70605-5362
Phone: (337) 721-7236
Fax: (337) 721-7237
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP04218 Louisiana

Profile Details

NPI number 1558313742
LBN Legal business name Guillory, David Paul
Credentials APRN, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Mar 21st, 2017 - about 7 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 1558313742 NPPES
Louisiana MEDICAID 1159956
Louisiana Other AP04218
Louisiana Other RN063053

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