Ledoux, Shea M.

Ledoux, Shea M. is an individual health care provider with primary practice located at 1747 Imperial Blvd , Lake Charles LA 70605-5362. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ledoux, Shea M. can be contacted via phone (337) 721-7236.

Contact Information

Primary practice address
1747 Imperial Blvd Lake Charles LA 70605-5362
Phone: (337) 721-7236
Fax: (337) 721-7237
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.200227 Louisiana

Profile Details

NPI number 1215182142
LBN Legal business name Ledoux, Shea M.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2008
Last updated Jul 28th, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215182142 NPPES
Louisiana MEDICAID 1461091

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