Thibodaux, Emily Renee

Thibodaux, Emily Renee is an individual health care provider with primary practice located at 1103 Kaliste Saloom Rd Suite 206, Lafayette LA 70508-5783. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Thibodaux, Emily Renee can be contacted via phone (337) 267-1319.

Contact Information

Primary practice address
1103 Kaliste Saloom Rd Suite 206 Lafayette LA 70508-5783
Fax: (337) 267-1379
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 200652

Profile Details

NPI number 1245666254
LBN Legal business name Thibodaux, Emily Renee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2013
Last updated Sep 23rd, 2013 - 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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