Gilmore, Jared

Gilmore, Jared is an individual health care provider with primary practice located at 604 N Acadia Rd Ste 409, Thibodaux LA 70301-4897. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Gilmore, Jared can be contacted via phone (985) 449-4670.

Contact Information

Primary practice address
604 N Acadia Rd Ste 409 Thibodaux LA 70301-4897
Phone: (985) 449-4670
Fax: (985) 449-2598
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 020594 Louisiana
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 020594 Louisiana

Profile Details

NPI number 1083685770
LBN Legal business name Gilmore, Jared
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Feb 8th, 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 1083685770 NPPES
Louisiana MEDICAID 1902560

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