Sebastian, Irene Mary

Sebastian, Irene Mary is an individual health care provider with primary practice located at 401 Veterans Memorial Blvd Suite 203, Metairie LA 70005-2957. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sebastian, Irene Mary can be contacted via phone (504) 838-9804.

Contact Information

Primary practice address
401 Veterans Memorial Blvd Suite 203 Metairie LA 70005-2957
Phone: (504) 838-9804
Fax: (504) 838-9806
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12655R Louisiana

Profile Details

NPI number 1710044862
LBN Legal business name Sebastian, Irene Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 1st, 2007
Last updated Jul 8th, 2007 - about 18 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 1710044862 NPPES
Louisiana MEDICAID 1541318

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