Waguespack, Roland

Waguespack, Roland is an individual health care provider with primary practice located at 4200 Houma Blvd Emergency Department, Metairie LA 70006-2970. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Waguespack, Roland can be contacted via phone (210) 614-0180.

Contact Information

Primary practice address
4200 Houma Blvd Emergency Department Metairie LA 70006-2970
Phone: (210) 614-0180
Fax: (210) 566-5698
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 024976 Louisiana

Profile Details

NPI number 1992762322
LBN Legal business name Waguespack, Roland
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Jul 11th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992762322 NPPES
Louisiana Other H4048Z BCBS
Louisiana MEDICAID 1422339 BCBS

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