Daigle, Jeffrey John

Daigle, Jeffrey John is an individual health care provider with primary practice located at 1615 Wolf Cir , Lake Charles LA 70605-2348. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Daigle, Jeffrey John can be contacted via phone (337) 312-8681.

Contact Information

Primary practice address
1615 Wolf Cir Lake Charles LA 70605-2348
Fax: (337) 312-8682
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA200462 Louisiana

Profile Details

NPI number 1740577998
LBN Legal business name Daigle, Jeffrey John
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2011
Last updated Dec 27th, 2019 - about 6 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 1740577998 NPPES
Louisiana MEDICAID 2161113

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