Labatut, Dwayne Paul

Labatut, Dwayne Paul is an individual health care provider with primary practice located at 2647 S Saint Elizabeth Blvd Ste 100 , Gonzales LA 70737-5019. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Labatut, Dwayne Paul can be contacted via phone (225) 765-5500.

Contact Information

Primary practice address
2647 S Saint Elizabeth Blvd Ste 100 Gonzales LA 70737-5019
Phone: (225) 765-5500
Fax: (225) 341-8206
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP04308 Louisiana

Profile Details

NPI number 1760462782
LBN Legal business name Labatut, Dwayne Paul
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Dec 29th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760462782 NPPES
Louisiana MEDICAID 1179957

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