Individual
CASE A RAPPELET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7777 HENNESSY BLVD, SUITE 211, BATON ROUGE, LA 70808-4300
(225) 765-8826
Mailing address
DEPT AT952639, ATLANTA, GA 31192-2639
(877) 485-4474
(405) 341-9217
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
200051
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1038318
—
LA
Enumeration date
03/27/2008
Last updated
05/30/2008
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