Prestenbach, Darrell Paul

Prestenbach, Darrell Paul is an individual health care provider with primary practice located at 1990 Industrial Blvd , Houma LA 70363-7055. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Prestenbach, Darrell Paul can be contacted via phone (985) 868-9300.

Contact Information

Primary practice address
1990 Industrial Blvd Houma LA 70363-7055
Phone: (985) 868-9300
Fax: (985) 851-0053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP06196 Louisiana

Profile Details

NPI number 1902118920
LBN Legal business name Prestenbach, Darrell Paul
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2010
Last updated Feb 25th, 2013 - about 12 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 1902118920 NPPES
Louisiana MEDICAID 2129121

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