Paddock, Jeffrey C
Paddock, Jeffrey C is an individual health care provider with primary practice located at 2335 Church St Ste G, Zachary LA 70791. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Paddock, Jeffrey C can be contacted via phone (225) 654-8208.Contact Information
Primary practice address
2335 Church St Ste G
Zachary LA 70791
Phone: (225) 654-8208
Fax: (225) 654-4642
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1588731285 |
|---|---|
| LBN Legal business name | Paddock, Jeffrey C |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Apr 20th, 2008 - about 17 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 | 1588731285 | NPPES |
| Louisiana | Other | 3A072C943 | MEDICARE |
| Louisiana | MEDICAID | 1023299 | MEDICARE |
| Louisiana | Other | P00408839 | MEDICARE |
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