Breaux, Timothy Gerald

Breaux, Timothy Gerald is an individual health care provider with primary practice located at 2021 Perdido St , New Orleans LA 70112-1352. 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, Timothy Gerald can be contacted via phone (504) 903-3370.

Contact Information

Primary practice address
2021 Perdido St New Orleans LA 70112-1352
Phone: (504) 903-3370
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN085125 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP04031 Louisiana

Profile Details

NPI number 1770537136
LBN Legal business name Breaux, Timothy Gerald
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Sep 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770537136 NPPES
Louisiana MEDICAID 1153401

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