Individual
MALCOLM MICHAEL DUPLANTIS JR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
211 E WORTHY ST, BLDG IV, GONZALES, LA 70737-4232
(225) 644-7044
(225) 644-4414
Mailing address
9541 MARGAUX DR, BATON ROUGE, LA 70817-7664
(985) 630-1656
(225) 756-5063
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
04755
LA
225100000X
Physical Therapist
Primary
04755
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4B693C811
MEDICARE GROUP MEMBER PTAN
LA
01
—
5C811
MEDICARD GROUP PTAN
LA
01
—
721460193
TAX ID PT AND HAND CENTER
LA
Enumeration date
07/02/2007
Last updated
08/08/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us