Agendia, Jude A

Agendia, Jude A is an individual health care provider with primary practice located at 1000 Walters Street , Lake Charles LA 70607. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Agendia, Jude A can be contacted via phone (337) 475-8429.

Contact Information

Primary practice address
1000 Walters Street Lake Charles LA 70607
Phone: (337) 475-8429
Fax: (337) 475-8415
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 201634 Louisiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 201634 Louisiana

Profile Details

NPI number 1821287806
LBN Legal business name Agendia, Jude A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2007
Last updated Nov 1st, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821287806 NPPES
Louisiana MEDICAID 1015539

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