Peter J Monteyne
General Practice Physician
2304 S. Burnside Ave Ste 2
Gonzales
, Louisiana 70737
Peter J Monteyne
General Practice Physician
2304 S. Burnside Ave Ste 2
Gonzales
, Louisiana 70737
(225) 644-7533
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Peter J Monteyne
- P.o. Box 1499
- Gonzales, LA
- Zip : 70707-1499
- Fax : (225) 644-7533
- Phone : (225) 647-6533
Second Address
- Peter J Monteyne
- 2304 S. Burnside Ave Ste 2
- Gonzales, LA
- Zip : 70737
- Fax : (225) 644-7533
- Phone : (225) 647-6533
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 08055R | LA |
National Provider Identifier
| NPI | 1043222508 |
|---|---|
| Provider Name | Peter J Monteyne |
| First Address | Gonzales, LA 70707-1499 |
| Second Address | Gonzales, LA 70737 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/08/2006 |
| Last Update Date | 27/11/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 08055R | LA STATE MEDICAL LICENSE (01) | LA |
| 1386952 | (05) | LA |
| 19208 | LA CONTROLLED SUBSTANCE N (01) | LA |
| AM1770331 | DEA NUMBER (01) | |
| C66854 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.