Lebeau, Jacque P.
Lebeau, Jacque P. is an individual health care provider with primary practice located at 5153 North 9Th Ave. Nemours Childrens Clinic, Pensacola, Pensacola FL 32504-8785. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is his primary health care specialty. Lebeau, Jacque P. can be contacted via phone (850) 505-4735.Contact Information
Primary practice address
5153 North 9Th Ave. Nemours Childrens Clinic, Pensacola
Pensacola FL 32504-8785
Phone: (850) 505-4735
Fax: (850) 505-4714
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 2009009831 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | ME105524 | Florida |
Profile Details
| NPI number | 1891828281 |
|---|---|
| LBN Legal business name | Lebeau, Jacque P. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Feb 13th, 2013 - about 11 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 | 1891828281 | NPPES |
| Missouri | MEDICAID | 1891828281 |
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