Perque, Tate James

Perque, Tate James is an sole proprietor health care provider with primary practice located at 1453 E Bert Kouns Industrial Loop Ste 318 , Shreveport LA 71105-6810. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Perque, Tate James can be contacted via phone (318) 681-1968.

Contact Information

Primary practice address
1453 E Bert Kouns Industrial Loop Ste 318 Shreveport LA 71105-6810
Phone: (318) 681-1968
Fax: (318) 681-1969
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA.200387 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA200387 Louisiana

Profile Details

NPI number 1003125055
LBN Legal business name Perque, Tate James
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2010
Last updated Jul 28th, 2020 - about 5 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 1003125055 NPPES
Louisiana MEDICAID 2125362

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