Ardoin, Brent C
Ardoin, Brent C is an sole proprietor health care provider with primary practice located at 728 Poinciana Ave , Mamou LA 70554-2208. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ardoin, Brent C can be contacted via phone (337) 468-0267.Contact Information
Primary practice address
728 Poinciana Ave
Mamou LA 70554-2208
Phone: (337) 468-0267
Fax: (337) 468-2438
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 017630 | Louisiana |
Profile Details
| NPI number | 1265446389 |
|---|---|
| LBN Legal business name | Ardoin, Brent C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1265446389 | NPPES |
| Louisiana | MEDICAID | 1347698 |
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