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
Fax: (337) 721-7237
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912957044 NPPES
Louisiana MEDICAID 1073059
Louisiana Other J1652
Louisiana Other 009625
Louisiana Other 5J432CW97

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