Judice, Kim Thomas
Judice, Kim Thomas is an sole proprietor health care provider with primary practice located at 111 Noel Dr. , Lafayette LA 70503. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Judice, Kim Thomas can be contacted via phone (337) 988-0020.Contact Information
Primary practice address
111 Noel Dr.
Lafayette LA 70503
Phone: (337) 988-0020
Fax: (337) 988-0244
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | LA3422 | Louisiana |
Profile Details
| NPI number | 1215073473 |
|---|---|
| LBN Legal business name | Judice, Kim Thomas |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Jul 9th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215073473 | NPPES |
| Louisiana | MEDICAID | 1834220 |
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