Rau, Mason Wade
Rau, Mason Wade is an individual health care provider with primary practice located at 2647 S Saint Elizabeth Blvd Ste 219 , Gonzales LA 70737-5020. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Rau, Mason Wade can be contacted via phone (225) 647-8511.Contact Information
Primary practice address
2647 S Saint Elizabeth Blvd Ste 219
Gonzales LA 70737-5020
Phone: (225) 647-8511
Fax: (225) 644-8358
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 330991 | Louisiana |
Profile Details
| NPI number | 1093274243 |
|---|---|
| LBN Legal business name | Rau, Mason Wade |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2019 |
| Last updated | Nov 1st, 2022 - about 3 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 | 1093274243 | NPPES |
| Louisiana | MEDICAID | 2494970 |
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