Drez, David Jacob
Drez, David Jacob is an individual health care provider with primary practice located at 1747 Imperial Blvd , Lake Charles LA 70605-5362. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Drez, David Jacob can be contacted via phone (337) 721-7236.Contact Information
Primary practice address
1747 Imperial Blvd
Lake Charles LA 70605-5362
Phone: (337) 721-7236
Fax: (337) 721-7237
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 009625 | Louisiana |
Profile Details
NPI number | 1912957044 |
---|---|
LBN Legal business name | Drez, David Jacob |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 11th, 2006 |
Last updated | Jan 30th, 2017 - about 7 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 | 1912957044 | NPPES |
Louisiana | MEDICAID | 1073059 | |
Louisiana | Other | J1652 | |
Louisiana | Other | 009625 | |
Louisiana | Other | 5J432CW97 |
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