Breaux, Edgar Paul
Breaux, Edgar Paul is an individual health care provider with primary practice located at 917 Coolidge Blvd , Lafayette LA 70503-2433. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Breaux, Edgar Paul can be contacted via phone (337) 237-5774.Contact Information
Primary practice address
917 Coolidge Blvd
Lafayette LA 70503-2433
Phone: (337) 237-5774
Fax: (337) 237-4939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 013363 | Louisiana |
Profile Details
| NPI number | 1982659165 |
|---|---|
| LBN Legal business name | Breaux, Edgar Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Jul 13th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982659165 | NPPES |
| Louisiana | MEDICAID | 1309516 |
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