Waguespack, Alexis M

Waguespack, Alexis M is an sole proprietor health care provider with primary practice located at 3939 Houma Blvd Ste 18 , Metairie LA 70006-2921. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as her primary health care specialty. Waguespack, Alexis M can be contacted via phone (504) 392-7123.

Contact Information

Primary practice address
3939 Houma Blvd Ste 18 Metairie LA 70006-2921
Phone: (504) 392-7123
Fax: (504) 392-7823
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X MD.09377R Louisiana

Profile Details

NPI number 1457388035
LBN Legal business name Waguespack, Alexis M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2006
Last updated Feb 7th, 2024 - about 9 months 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 1457388035 NPPES
Louisiana MEDICAID 1955884

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