Ellender, Patrick Roan

Ellender, Patrick Roan is an sole proprietor health care provider with primary practice located at 726 N Acadia Rd Suite 1000, Thibodaux LA 70301-5009. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Ellender, Patrick Roan can be contacted via phone (985) 625-2200.

Contact Information

Primary practice address
726 N Acadia Rd Suite 1000 Thibodaux LA 70301-5009
Phone: (985) 625-2200
Fax: (985) 625-2206
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 026384 Louisiana
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 026384 Louisiana

Profile Details

NPI number 1841469681
LBN Legal business name Ellender, Patrick Roan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2008
Last updated May 11th, 2017 - 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 1841469681 NPPES
Louisiana MEDICAID 1066044

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