Mouton, Mark Christian
Mouton, Mark Christian is an sole proprietor health care provider with primary practice located at 12880 Plank Rd , Baker LA 70714-4909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mouton, Mark Christian can be contacted via phone (225) 774-7111.Contact Information
Primary practice address
12880 Plank Rd
Baker LA 70714-4909
Phone: (225) 774-7111
Fax: (225) 774-7111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD.201233 | Louisiana |
Profile Details
| NPI number | 1164613758 |
|---|---|
| LBN Legal business name | Mouton, Mark Christian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 7th, 2007 |
| Last updated | Jun 29th, 2014 - about 10 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 | 1164613758 | NPPES |
| Louisiana | MEDICAID | 1090484 |
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