Breaux, John Richard

Breaux, John Richard is an individual health care provider with primary practice located at 64040 Highway 434 Suite 200, Lacombe LA 70445-3499. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Breaux, John Richard can be contacted via phone (985) 882-6221.

Contact Information

Primary practice address
64040 Highway 434 Suite 200 Lacombe LA 70445-3499
Phone: (985) 882-6221
Fax: (985) 882-7935
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 018176 Louisiana

Profile Details

NPI number 1760487680
LBN Legal business name Breaux, John Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jan 26th, 2022 - about 3 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 1760487680 NPPES
Mississippi Other 00117913 MEDICAID
Mississippi MEDICAID 1385221 MEDICAID
Mississippi Other 721349588 MEDICAID

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