Ladouceur, Michael S
Ladouceur, Michael S is an individual health care provider with primary practice located at 5651 Frist Blvd Suite 200, Hermitage TN 37076-2054. 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. Ladouceur, Michael S can be contacted via phone (615) 885-0200.Contact Information
Primary practice address
5651 Frist Blvd Suite 200
Hermitage TN 37076-2054
Phone: (615) 885-0200
Fax: (615) 885-0267
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD0000031901 | Tennessee |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | MD000031901 | Tennessee |
Profile Details
| NPI number | 1598753758 |
|---|---|
| LBN Legal business name | Ladouceur, Michael S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | May 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598753758 | NPPES |
| Tennessee | Other | 4342767 | BCBS |
| Tennessee | MEDICAID | 3842887 | BCBS |
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