Thibodeaux, Jeffrey J
Thibodeaux, Jeffrey J is an individual health care provider with primary practice located at 200-A Energy Parkway Suite 209, Lafayette LA 70508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Thibodeaux, Jeffrey J can be contacted via phone (337) 233-9546.Contact Information
Primary practice address
200-A Energy Parkway Suite 209
Lafayette LA 70508
Phone: (337) 233-9546
Fax: (337) 237-5723
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 021138 | Louisiana |
Profile Details
| NPI number | 1275634107 |
|---|---|
| LBN Legal business name | Thibodeaux, Jeffrey J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Apr 25th, 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 | 1275634107 | NPPES |
| Louisiana | MEDICAID | 1936120 |
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