Vincent, Bethaney June
Vincent, Bethaney June is an sole proprietor health care provider with primary practice located at 1514 Jefferson Hwy , New Orleans LA 70121-2429. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is her primary health care specialty. Vincent, Bethaney June can be contacted via phone (504) 842-3330.Contact Information
Primary practice address
1514 Jefferson Hwy
New Orleans LA 70121-2429
Phone: (504) 842-3330
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | PGY.1.TUL-IM | Louisiana |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | MD.205613 | Louisiana |
Profile Details
| NPI number | 1508049438 |
|---|---|
| LBN Legal business name | Vincent, Bethaney June |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2007 |
| Last updated | Nov 5th, 2012 - about 12 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 | 1508049438 | NPPES |
| Mississippi | MEDICAID | 01988200 | |
| Mississippi | MEDICAID | 1002569 |
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