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Contact Information

STEPHEN C PRUDHOMME, MD
828 MYRTLE VIEW DR
BATON ROUGE, LA70810-4226
 Phone: 225-767-3409
 Fax: 225-767-3409
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Body Imaging

2085B0100X
Indicates primary specialty

NPI Profile & details for STEPHEN C PRUDHOMME · (Male)

NPI # 1699072678
Status Active
Credentials MD
Entity Individual
Enumeration date 02/28/2011
Last updated 02/28/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 020659
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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