Van Deventer, Paul Matthews
Van Deventer, Paul Matthews is an individual health care provider with primary practice located at 2330 N Causeway Blvd , Mandeville LA 70471-6402. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Van Deventer, Paul Matthews can be contacted via phone (985) 674-1700.Contact Information
Primary practice address
2330 N Causeway Blvd
Mandeville LA 70471-6402
Phone: (985) 674-1700
Fax: (985) 674-1722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 10083R | Louisiana |
Profile Details
| NPI number | 1730184193 |
|---|---|
| LBN Legal business name | Van Deventer, Paul Matthews |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730184193 | NPPES |
| Louisiana | MEDICAID | 1531278 |
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