Theriot, John David

Theriot, John David is an individual health care provider with primary practice located at 225 Dunn St , Houma LA 70360-4413. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Theriot, John David can be contacted via phone (985) 876-0300.

Contact Information

Primary practice address
225 Dunn St Houma LA 70360-4413
Phone: (985) 876-0300
Fax: (985) 872-0317
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN065771 - AP03378 Louisiana

Profile Details

NPI number 1619974367
LBN Legal business name Theriot, John David
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Oct 20th, 2015 - about 9 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 1619974367 NPPES
Louisiana MEDICAID 1554090
Louisiana Other 500007519

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