Ancelet, Jean Charles-Edouard

Ancelet, Jean Charles-Edouard is an sole proprietor health care provider with primary practice located at 202 Westgate Rd , Lafayette LA 70506-2711. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ancelet, Jean Charles-Edouard can be contacted via phone (337) 232-1802.

Contact Information

Primary practice address
202 Westgate Rd Lafayette LA 70506-2711
Phone: (337) 232-1802
Fax: (337) 232-1809
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD.204344 Louisiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD.204344 Louisiana

Profile Details

NPI number 1336380302
LBN Legal business name Ancelet, Jean Charles-Edouard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2009
Last updated Mar 2nd, 2023 - about 2 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 1336380302 NPPES
Mississippi MEDICAID 00953567
Mississippi MEDICAID 1987140

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