Mautner, Richard K
Mautner, Richard K is an individual health care provider with primary practice located at 2820 Canal St Fl 1, New Orleans LA 70119-6302. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mautner, Richard K can be contacted via phone (504) 821-8158.Contact Information
Primary practice address
2820 Canal St Fl 1
New Orleans LA 70119-6302
Phone: (504) 821-8158
Fax: (504) 827-7416
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 03880R | Louisiana |
Profile Details
NPI number | 1144228768 |
---|---|
LBN Legal business name | Mautner, Richard K |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 8th, 2005 |
Last updated | Jul 8th, 2007 - about 17 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 | 1144228768 | NPPES |
Louisiana | MEDICAID | 1184675 |
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