Eric William Prestenburg
Student in an Organized Health Care Education/Training Program in New Orleans, LA. Individual provider (NPI-1).
NPI number1689433005
StatusActive
Last updated in NPPESMar 21, 2024
Details
- NPI
- 1689433005
- Entity type
- Individual (NPI-1)
- Name
- Eric William Prestenburg
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 18, 2024
- Certification date
- Mar 21, 2024
- Last updated
- Mar 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
2021 Perdido St Ste 8226New Orleans, LA 70112-1352
Phone 504-568-2319 · Fax 504-568-2317
Mailing address
2021 Perdido St Ste 8226New Orleans, LA 70112-1352
Phone 504-568-2319 · Fax 504-568-2317
Other practice locations
645 Terrace St
Jefferson, LA 70121-1517
Jefferson, LA 70121-1517
Phone 504-810-1613
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All 1,321 Student in an Organized Health Care Education/Training Program providers in New Orleans · All 16,958 providers in New Orleans
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