Prudhomme, Jacques

Prudhomme, Jacques is an sole proprietor health care provider with primary practice located at 107 W. Alabama Ave , Ruston LA 71270-4403. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Prudhomme, Jacques can be contacted via phone (318) 224-7170.

Contact Information

Primary practice address
107 W. Alabama Ave Ruston LA 71270-4403
Fax: (318) 224-7063
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1295105401
LBN Legal business name Prudhomme, Jacques
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2015
Last updated Jan 25th, 2019 - about 5 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.

Request for update

Popular Providers