Wall, Luke Allen
Wall, Luke Allen is an sole proprietor health care provider with primary practice located at 200 Henry Clay Ave , New Orleans LA 70118-5720. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Wall, Luke Allen can be contacted via phone (504) 896-9589.Contact Information
Primary practice address
200 Henry Clay Ave
New Orleans LA 70118-5720
Phone: (504) 896-9589
Fax: (504) 896-9311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD.203242 | Louisiana |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | MD.203242 | Louisiana |
Profile Details
| NPI number | 1124207873 |
|---|---|
| LBN Legal business name | Wall, Luke Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 30th, 2007 |
| Last updated | Feb 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124207873 | NPPES |
| Louisiana | MEDICAID | 1007528 |
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