Palazzo, Anthony Jude

Palazzo, Anthony Jude is an sole proprietor health care provider with primary practice located at 405 Avenue F , Bogalusa LA 70427-3633. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is his primary health care specialty. Palazzo, Anthony Jude can be contacted via phone (985) 732-1568.

Contact Information

Primary practice address
405 Avenue F Bogalusa LA 70427-3633
Phone: (985) 732-1568
Fax: (985) 732-4458
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X MD.07154R Louisiana
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X MD.07154R Louisiana

Profile Details

NPI number 1063457554
LBN Legal business name Palazzo, Anthony Jude
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2006
Last updated Dec 21st, 2021 - about 4 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 1063457554 NPPES
Louisiana MEDICAID 1367061
Louisiana MEDICAID 00018495
Louisiana Other 4402936
Louisiana Other 19669647423

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