Hebert, Mitchell J

Hebert, Mitchell J is an individual health care provider with primary practice located at 5131 Odonovan Dr Ste 100 , Baton Rouge LA 70808-4791. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Hebert, Mitchell J can be contacted via phone (225) 767-4893.

Contact Information

Primary practice address
5131 Odonovan Dr Ste 100 Baton Rouge LA 70808-4791
Fax: (225) 408-1959
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 018943 Louisiana

Profile Details

NPI number 1861499154
LBN Legal business name Hebert, Mitchell J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Jun 29th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861499154 NPPES
Louisiana MEDICAID 1913162

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