Peavy, Donald R

Peavy, Donald R is an individual health care provider with primary practice located at 4848 North Blvd , Baton Rouge LA 70806-4019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Peavy, Donald R can be contacted via phone (225) 927-0180.

Contact Information

Primary practice address
4848 North Blvd Baton Rouge LA 70806-4019
Fax: (225) 926-3803
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 019600 Louisiana

Profile Details

NPI number 1033271317
LBN Legal business name Peavy, Donald R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated May 6th, 2008 - about 16 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 1033271317 NPPES
Louisiana MEDICAID 1918199

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