Poche, George William

Poche, George William is an individual health care provider with primary practice located at 5326 O'Donovan Drive , Baton Rouge LA 70808-4388. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Poche, George William can be contacted via phone (225) 769-7546.

Contact Information

Primary practice address
5326 O'Donovan Drive Baton Rouge LA 70808-4388
Fax: (225) 769-0471
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 012028 Louisiana

Profile Details

NPI number 1275521932
LBN Legal business name Poche, George William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Jan 20th, 2009 - about 15 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 1275521932 NPPES
Louisiana MEDICAID 1162663

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