Louis-Jacques, Macantoine

Louis-Jacques, Macantoine is an individual health care provider with primary practice located at 514 N Prospect Ave Ste 100 , Redondo Beach CA 90277-3036. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Louis-Jacques, Macantoine can be contacted via phone (310) 376-2707.

Contact Information

Primary practice address
514 N Prospect Ave Ste 100 Redondo Beach CA 90277-3036
Phone: (310) 376-2707
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 31796 Arizona
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 31796 Arizona

Profile Details

NPI number 1790723773
LBN Legal business name Louis-Jacques, Macantoine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated May 4th, 2022 - about 2 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 1790723773 NPPES
Arizona MEDICAID 100504307
Arizona Other 453100002
Arizona MEDICAID 100504307
Arizona Other AZ0768070
Arizona Other P00151557

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