Boudreaux, David A
Boudreaux, David A is an individual health care provider with primary practice located at 5339 Odonavan , Baton Rouge LA 70808-4388. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Boudreaux, David A can be contacted via phone (225) 766-4999.Contact Information
Primary practice address
5339 Odonavan
Baton Rouge LA 70808-4388
Phone: (225) 766-4999
Fax: (225) 763-5870
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD.012883 | Louisiana |
Profile Details
| NPI number | 1982664371 |
|---|---|
| LBN Legal business name | Boudreaux, David A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Mar 6th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982664371 | NPPES |
| Louisiana | MEDICAID | 1389561 |
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