Mahony, Peter Mike

Mahony, Peter Mike is an sole proprietor health care provider with primary practice located at 333 Dr Michael Debakey Dr Ste. 220, Lake Charles LA 70601-5887. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Mahony, Peter Mike can be contacted via phone (337) 478-9331.

Contact Information

Primary practice address
333 Dr Michael Debakey Dr Ste. 220 Lake Charles LA 70601-5887
Phone: (337) 478-9331
Fax: (337) 478-9828
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 021615 Louisiana

Profile Details

NPI number 1962403303
LBN Legal business name Mahony, Peter Mike
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2005
Last updated Dec 13th, 2011 - about 13 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 1962403303 NPPES
Louisiana MEDICAID 1480649

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