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Contact Information

BEATRICE S DESPER, MD
1120 N CAUSEWAY BLVD
SUITE 1
MANDEVILLE, LA70471-3209
 Phone: 985-674-4434
 Fax: 985-674-4374
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for BEATRICE S DESPER · (Female)

NPI # 1689647430
Status Active
Credentials MD
Entity Individual
Enumeration date 02/10/2006
Last updated 05/21/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 15436R
  • LA Medicaid 1469742
  • LA Other 4K703CY96 MEDICARE INDIVIDUAL PTAN
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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