Breaux, Jason A
Breaux, Jason A is an individual health care provider with primary practice located at 457 Heymann Blvd , Lafayette LA 70503-2616. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Breaux, Jason A can be contacted via phone (337) 237-5774.Contact Information
Primary practice address
457 Heymann Blvd
Lafayette LA 70503-2616
Phone: (337) 237-5774
Fax: (337) 237-4940
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | MD.026385 | Louisiana |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD.026385 | Louisiana |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 26385 | Louisiana |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD434211 | Pennsylvania |
Profile Details
| NPI number | 1619167517 |
|---|---|
| LBN Legal business name | Breaux, Jason A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2007 |
| Last updated | Dec 17th, 2020 - about 4 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 | 1619167517 | NPPES |
| Louisiana | MEDICAID | 1058122 |
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