Thibodeaux, Louis

Thibodeaux, Louis is an individual health care provider with primary practice located at 11155 Kenwood Rd , Cincinnati OH 45242-1817. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Thibodeaux, Louis can be contacted via phone (513) 385-1919.

Contact Information

Primary practice address
11155 Kenwood Rd Cincinnati OH 45242-1817
Fax: (513) 385-6208
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35063926 Ohio
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 35063926 Ohio

Profile Details

NPI number 1922080308
LBN Legal business name Thibodeaux, Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Sep 8th, 2008 - about 16 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 1922080308 NPPES
Ohio MEDICAID 0943242
Ohio Other 310837421SA
Ohio Other 000000007820
Ohio MEDICAID 100328970A
Ohio MEDICAID 64958879
Ohio Other 14096
Ohio MEDICAID 310837421027
Ohio Other 1701181
Ohio Other 9246433001
Ohio Other 0972646
Ohio Other 310837421

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