Prosperie, Nicole D
Prosperie, Nicole D is an individual health care provider with primary practice located at 506 N Acadia Rd , Thibodaux LA 70301-4862. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Prosperie, Nicole D can be contacted via phone (985) 448-1216.Contact Information
Primary practice address
506 N Acadia Rd
Thibodaux LA 70301-4862
Phone: (985) 448-1216
Fax: (985) 446-8765
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD203822 | Louisiana |
Profile Details
NPI number | 1225229552 |
---|---|
LBN Legal business name | Prosperie, Nicole D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 1st, 2007 |
Last updated | Dec 14th, 2015 - about 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225229552 | NPPES |
Louisiana | MEDICAID | 1000965 | |
Louisiana | Other | P01534049 |
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