Huddleston, Jamie Bourgeois

Huddleston, Jamie Bourgeois is an individual health care provider with primary practice located at 4608 Highway 1 , Raceland LA 70394. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Huddleston, Jamie Bourgeois can be contacted via phone (985) 537-6841.

Contact Information

Primary practice address
4608 Highway 1 Raceland LA 70394
Phone: (985) 537-6841
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD.201435 Louisiana

Profile Details

NPI number 1750562856
LBN Legal business name Huddleston, Jamie Bourgeois
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2007
Last updated Dec 17th, 2008 - about 17 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 1750562856 NPPES
Mississippi MEDICAID 08189775
Mississippi MEDICAID 1070165

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