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Contact Information

ADH-PORT VINCENT, LLC
18335 LA HIGHWAY 42
PORT VINCENT, LA70726-8025
 Phone: 225-698-9510
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ADH PORT VINCENT LLC · (Female)

NPI # 1497006522
Status Active
Credentials
Entity Individual
Enumeration date 09/28/2012
Last updated 01/29/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA License # 4818
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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