Rousseau, Jean Wedner

Rousseau, Jean Wedner is an individual health care provider with primary practice located at 4140 Hollywood Avenue , Shreveport LA 71109-7818. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Rousseau, Jean Wedner can be contacted via phone (318) 621-9600.

Contact Information

Primary practice address
4140 Hollywood Avenue Shreveport LA 71109-7818
Phone: (318) 621-9600
Fax: (318) 621-0169
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 06203R Louisiana

Profile Details

NPI number 1750485900
LBN Legal business name Rousseau, Jean Wedner
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750485900 NPPES
Louisiana MEDICAID 1334022

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