Breaux, Jason P.

Breaux, Jason P. is an individual health care provider with primary practice located at 1214 Coolidge Blvd , Lafayette LA 70503-2621. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Breaux, Jason P. can be contacted via phone (337) 988-1890.

Contact Information

Primary practice address
1214 Coolidge Blvd Lafayette LA 70503-2621
Phone: (337) 988-1890
Fax: (337) 988-1890
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP04854 Louisiana

Profile Details

NPI number 1710937107
LBN Legal business name Breaux, Jason P.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jul 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710937107 NPPES
Louisiana MEDICAID 1528242

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