Superneau, Duane William
Superneau, Duane William is an individual health care provider with primary practice located at 8415 Goodwood Blvd Suite 202 B, Baton Rouge LA 70806-7851. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is his primary health care specialty. Superneau, Duane William can be contacted via phone (225) 765-8988.Contact Information
Primary practice address
8415 Goodwood Blvd Suite 202 B
Baton Rouge LA 70806-7851
Phone: (225) 765-8988
Fax: (225) 765-1173
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 14531 | Louisiana |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD014531 | Louisiana |
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | MD.014531 | Louisiana |
Profile Details
NPI number | 1427018274 |
---|---|
LBN Legal business name | Superneau, Duane William |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 24th, 2006 |
Last updated | Apr 27th, 2021 - about 4 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 | 1427018274 | NPPES |
Mississippi | MEDICAID | 00119789 | |
Mississippi | MEDICAID | 1907421 |
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