Provider Demographics
NPI:1982742193
Name:DEBOISBLANC & CONTREARY, LTD.
Entity Type:Organization
Organization Name:DEBOISBLANC & CONTREARY, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:KELVIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:CONTREARY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-454-6338
Mailing Address - Street 1:4224 HOUMA BLVD
Mailing Address - Street 2:SUITE 330
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2933
Mailing Address - Country:US
Mailing Address - Phone:504-454-6338
Mailing Address - Fax:504-456-8016
Practice Address - Street 1:4224 HOUMA BLVD
Practice Address - Street 2:SUITE 330
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2933
Practice Address - Country:US
Practice Address - Phone:504-454-6338
Practice Address - Fax:504-456-8016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1792357Medicaid
LA5B447Medicare ID - Type Unspecified