Blaise, Judith Canella

Blaise, Judith Canella is an individual health care provider with primary practice located at 602 N Acadia Rd , Thibodaux LA 70301-4823. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics is her primary health care specialty. Blaise, Judith Canella can be contacted via phone (985) 493-4706.

Contact Information

Primary practice address
602 N Acadia Rd Thibodaux LA 70301-4823
Phone: (985) 493-4706
Fax: (985) 449-2595
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 020707 Louisiana
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X MD.020707 Louisiana

Profile Details

NPI number 1275578130
LBN Legal business name Blaise, Judith Canella
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Jan 9th, 2019 - about 7 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 1275578130 NPPES
Louisiana MEDICAID 1540161

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