Valen, Freshnedie Jacalan

Valen, Freshnedie Jacalan is an individual health care provider with primary practice located at 1111 Medical Center Blvd Suite S-350, Marrero LA 70072-3151. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Valen, Freshnedie Jacalan can be contacted via phone (504) 349-6350.

Contact Information

Primary practice address
1111 Medical Center Blvd Suite S-350 Marrero LA 70072-3151
Phone: (504) 349-6350
Fax: (504) 349-6355
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 03753R Louisiana

Profile Details

NPI number 1811996986
LBN Legal business name Valen, Freshnedie Jacalan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Jul 9th, 2007 - about 17 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 1811996986 NPPES
Louisiana MEDICAID 1183741

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