Rachal, Kenneth Chris

Rachal, Kenneth Chris is an sole proprietor health care provider with primary practice located at 142A Rue Marguerite , Thibodaux LA 70301-6738. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Prescribing (Medical), Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Prescribing (Medical) is his primary health care specialty. Rachal, Kenneth Chris can be contacted via phone (985) 625-0023.

Contact Information

Primary practice address
142A Rue Marguerite Thibodaux LA 70301-6738
Phone: (985) 625-0023
Fax: (985) 625-0022
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 895 Louisiana
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X MP.0014 Louisiana
Behavioral Health & Social Service Providers / Counseling 103TC1900X 895 Louisiana

Profile Details

NPI number 1871590067
LBN Legal business name Rachal, Kenneth Chris
Credentials PHD, MP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2005
Last updated May 1st, 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 1871590067 NPPES
Louisiana MEDICAID 1130354

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