Goudeau, Dustin Rand

Goudeau, Dustin Rand is an individual health care provider with primary practice located at 3351 Masonic Dr , Alexandria LA 71301-3842. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Goudeau, Dustin Rand can be contacted via phone (318) 473-9556.

Contact Information

Primary practice address
3351 Masonic Dr Alexandria LA 71301-3842
Phone: (318) 473-9556
Fax: (318) 441-8339
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PAA10612 Louisiana

Profile Details

NPI number 1003880956
LBN Legal business name Goudeau, Dustin Rand
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Dec 10th, 2009 - about 15 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 1003880956 NPPES
Louisiana Other P00246919 RAILROAD MEDICARE PALMETT

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