Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 0101253491 | VA |
N | 207XS0117X | Orthopaedic Spine Surgeon | 45221 | KY |
Y | 207XS0117X | Orthopaedic Spine Surgeon | MD207469 | LA |
NPI | 1366626558 |
---|---|
Provider Name | Paul C Celestre |
First Address | New Orleans, LA 70121-2429 |
Second Address | New Orleans, LA 70121-2429 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/12/2007 |
Last Update Date | 19/05/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
08820221 | (05) | MS |
201109840 | (05) | IN |
2380893 | (05) | LA |
7100209390 | (05) | KY |
K058720 | MEDICARE -NORTON LEATHERMAN SPINE (01) | KY |