Ledoux, Shawn

Ledoux, Shawn is an individual health care provider with primary practice located at 421 S 28Th Ave Ste 310 , Hattiesburg MS 39401-7208. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Clinical Pathology. Allopathic & Osteopathic Physicians / Clinical Pathology is his primary health care specialty. Ledoux, Shawn can be contacted via phone (601) 579-5261.

Contact Information

Primary practice address
421 S 28Th Ave Ste 310 Hattiesburg MS 39401-7208
Phone: (601) 579-5261
Fax: (601) 579-5240
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X E-9770 Arkansas
Allopathic & Osteopathic Physicians / Clinical Pathology 207ZC0006X 28746 Mississippi

Profile Details

NPI number 1922367978
LBN Legal business name Ledoux, Shawn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2012
Last updated Sep 13th, 2021 - about 3 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 1922367978 NPPES
Mississippi MEDICAID 06425721

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