Mestayer, Ross Patrick

Mestayer, Ross Patrick is an individual health care provider with primary practice located at 1700 Lindberg Dr , Slidell LA 70458-8062. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Mestayer, Ross Patrick can be contacted via phone (985) 641-8008.

Contact Information

Primary practice address
1700 Lindberg Dr Slidell LA 70458-8062
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD.14383R Louisiana

Profile Details

NPI number 1629145313
LBN Legal business name Mestayer, Ross Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629145313 NPPES
Louisiana MEDICAID 1573558

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