Marrioneaux, Ory Samuel
Marrioneaux, Ory Samuel is an individual health care provider with primary practice located at 8150 Jefferson Hwy , Baton Rouge LA 70806. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Marrioneaux, Ory Samuel can be contacted via phone (225) 664-2029.Contact Information
Primary practice address
8150 Jefferson Hwy
Baton Rouge LA 70806
Phone: (225) 664-2029
Fax: (225) 763-9693
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | LA10227RX | Louisiana |
Profile Details
| NPI number | 1962443473 |
|---|---|
| LBN Legal business name | Marrioneaux, Ory Samuel |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Aug 29th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962443473 | NPPES |
| Mississippi | MEDICAID | 00400060 | |
| Mississippi | MEDICAID | 2350161 |
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