Lebeau, Jake Thomas

Lebeau, Jake Thomas is an individual health care provider with primary practice located at 501 Michael Debakey Drive , Lake Charles LA 70601-5724. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Lebeau, Jake Thomas can be contacted via phone (337) 312-8246.

Contact Information

Primary practice address
501 Michael Debakey Drive Lake Charles LA 70601-5724
Phone: (337) 312-8246
Fax: (337) 497-1173
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD.206026 Louisiana
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MD.206026 Louisiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2008026265 Missouri

Profile Details

NPI number 1174659668
LBN Legal business name Lebeau, Jake Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Feb 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174659668 NPPES
Louisiana MEDICAID 2367102

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