Dufrechou, Nicole Julie

Dufrechou, Nicole Julie is an individual health care provider with primary practice located at 7777 Hennessy Blvd Suite 700, Baton Rouge LA 70808-4300. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dufrechou, Nicole Julie can be contacted via phone (225) 526-0006.

Contact Information

Primary practice address
7777 Hennessy Blvd Suite 700 Baton Rouge LA 70808-4300
Fax: (225) 765-9291
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.200081.RX Louisiana

Profile Details

NPI number 1720123078
LBN Legal business name Dufrechou, Nicole Julie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated May 23rd, 2016 - about 8 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 1720123078 NPPES
Louisiana MEDICAID 1355909

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