Mayeaux, Stacey Wayne
Mayeaux, Stacey Wayne is an sole proprietor health care provider with primary practice located at 519 E Prudhomme St , Opelousas LA 70570-6499. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mayeaux, Stacey Wayne can be contacted via phone (337) 678-3755.Contact Information
Primary practice address
519 E Prudhomme St
Opelousas LA 70570-6499
Phone: (337) 678-3755
Fax: (337) 678-3757
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 24994 | Louisiana |
Profile Details
| NPI number | 1013986892 |
|---|---|
| LBN Legal business name | Mayeaux, Stacey Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Apr 29th, 2016 - about 8 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 | 1013986892 | NPPES |
| Louisiana | MEDICAID | 1423271 |
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