Leftwich, Owen Bernard
Leftwich, Owen Bernard is an individual health care provider with primary practice located at 4601 Wichers Dr , Marrero LA 70072-3049. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Leftwich, Owen Bernard can be contacted via phone (504) 347-8434.Contact Information
Primary practice address
4601 Wichers Dr
Marrero LA 70072-3049
Phone: (504) 347-8434
Fax: (504) 347-9868
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | L015702 | Louisiana |
Profile Details
| NPI number | 1588663819 |
|---|---|
| LBN Legal business name | Leftwich, Owen Bernard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Apr 1st, 2008 - about 16 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 | 1588663819 | NPPES |
| Louisiana | MEDICAID | 1350885 |
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