Healthcare Provider Details

I. General information

NPI: 1144431685
Provider Name (Legal Business Name): DAMETRIA A SINEGAL-DANIEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 09/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

352 HOSPITAL BLVD
PINEVILLE LA
71360-6903
US

IV. Provider business mailing address

352 HOSPITAL BLVD
PINEVILLE LA
71360-6903
US

V. Phone/Fax

Practice location:
  • Phone: 318-448-0811
  • Fax: 318-473-1435
Mailing address:
  • Phone: 318-448-0811
  • Fax: 318-473-1435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD.203298
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD.203298
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: