Ardoin, Reginald

Ardoin, Reginald is an individual health care provider with primary practice located at 1103 Kaliste Saloom Rd Suite 304, Lafayette LA 70508-5783. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Ardoin, Reginald can be contacted via phone (337) 988-5646.

Contact Information

Primary practice address
1103 Kaliste Saloom Rd Suite 304 Lafayette LA 70508-5783
Fax: (337) 769-6423
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 20806 Louisiana

Profile Details

NPI number 1194712224
LBN Legal business name Ardoin, Reginald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated May 6th, 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 1194712224 NPPES
Louisiana MEDICAID 1980951

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