Thibodeaux, Joel D

Thibodeaux, Joel D is an individual health care provider with primary practice located at 1701 Oak Park Blvd , Lake Charles LA 70601-8911. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Thibodeaux, Joel D can be contacted via phone (337) 494-3190.

Contact Information

Primary practice address
1701 Oak Park Blvd Lake Charles LA 70601-8911
Phone: (337) 494-3190
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X N3344 Texas
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 025001 Louisiana

Profile Details

NPI number 1972698918
LBN Legal business name Thibodeaux, Joel D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Apr 3rd, 2019 - about 5 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 1972698918 NPPES
Louisiana MEDICAID 1423602
Louisiana Other 1972698918

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