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:
Health care specialties
Specialty | Code | License # | 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 10 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 | 1871590067 | NPPES |
Louisiana | MEDICAID | 1130354 |
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