Boudreaux, Chester Gregory

Boudreaux, Chester Gregory is an sole proprietor health care provider with primary practice located at 142 Rue Marguerite , Thibodaux LA 70301-6738. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Boudreaux, Chester Gregory can be contacted via phone (985) 446-2131.

Contact Information

Primary practice address
142 Rue Marguerite Thibodaux LA 70301-6738
Phone: (985) 446-2131
Fax: (985) 447-3383
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 022212 Louisiana

Profile Details

NPI number 1073502472
LBN Legal business name Boudreaux, Chester Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2005
Last updated Nov 25th, 2008 - about 17 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 1073502472 NPPES
Louisiana MEDICAID 1493783

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