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Contact Information

JOHN DEWAARD, DO
10310 THE GROVE BLVD
BATON ROUGE, LA70836-6455
 Phone: 225-388-6630
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JOHN DEWAARD · (Male)

NPI # 1629647805
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/22/2021
Last updated 10/17/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • LA License # 347471
  • MI License # 5101028098
  • NE Medicaid 470553011-00
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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