Palombo, David

Palombo, David is an individual health care provider with primary practice located at 1000 Walters St , Lake Charles LA 70607-4647. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Palombo, David can be contacted via phone (337) 480-8066.

Contact Information

Primary practice address
1000 Walters St Lake Charles LA 70607-4647
Phone: (337) 480-8066
Fax: (337) 480-8109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD206492 Louisiana
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X 206492 Louisiana
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 206492 Louisiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Q3415 Texas

Profile Details

NPI number 1700151016
LBN Legal business name Palombo, David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2012
Last updated May 16th, 2024 - about 6 months 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 1700151016 NPPES
Louisiana Other MD.206492 STATE LICENSE
Louisiana MEDICAID 2199668 STATE LICENSE

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