Vanbergen, Richard Andrew

Vanbergen, Richard Andrew is an individual health care provider with primary practice located at 2315 E Main St , New Iberia LA 70560-4031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Vanbergen, Richard Andrew can be contacted via phone (337) 367-1048.

Contact Information

Primary practice address
2315 E Main St New Iberia LA 70560-4031
Fax: (337) 367-0131
Website:

Health care specialties

Profile Details

NPI number 1265404909
LBN Legal business name Vanbergen, Richard Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Mar 10th, 2024 - about last year

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 1265404909 NPPES
Louisiana Other 10760R MEDICAL LICENSE
Louisiana MEDICAID 1486221 MEDICAL LICENSE

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