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
Fax: (985) 446-8765
Website:

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225229552 NPPES
Louisiana MEDICAID 1000965
Louisiana Other P01534049

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