Staab, Paul Kray

Staab, Paul Kray is an sole proprietor health care provider with primary practice located at 5216 Lapalco Blvd , Marrero LA 70072-4248. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Staab, Paul Kray can be contacted via phone (985) 796-0904.

Contact Information

Primary practice address
5216 Lapalco Blvd Marrero LA 70072-4248
Fax: (985) 796-0904
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 017766 Louisiana

Profile Details

NPI number 1629004023
LBN Legal business name Staab, Paul Kray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2006
Last updated Jul 8th, 2007 - about 19 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 1629004023 NPPES
Louisiana MEDICAID 1351768

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