Winston, Bob

Winston, Bob is an sole proprietor health care provider with primary practice located at 234 Rue Beauregard Suite 100, Lafayette LA 70508-3285. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Winston, Bob can be contacted via phone (337) 593-0830.

Contact Information

Primary practice address
234 Rue Beauregard Suite 100 Lafayette LA 70508-3285
Fax: (337) 593-0122
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 11569R Louisiana

Profile Details

NPI number 1619064367
LBN Legal business name Winston, Bob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2006
Last updated Jul 29th, 2010 - about 14 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 1619064367 NPPES
Louisiana MEDICAID 1672025

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