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Contact Information

JOHN DEBACK JR, MD
7777 HENNESSY BLVD
SUITE 6000
BATON ROUGE, LA70808-4300
 Phone: 225-765-8648
 Fax: 225-765-7898
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for JOHN DEBACK JR · (Male)

NPI # 1689674053
Status Active
Credentials MD
Entity Individual
Enumeration date 07/28/2005
Last updated 03/25/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 017013
  • LA License # 17013
  • LA Medicaid 1356387
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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