Atwi, Jibran Elias
Atwi, Jibran Elias is an individual health care provider with primary practice located at 401 Youngsville Hwy Suite 100, Lafayette LA 70508-5173. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Atwi, Jibran Elias can be contacted via phone (337) 330-0031.Contact Information
Primary practice address
401 Youngsville Hwy Suite 100
Lafayette LA 70508-5173
Phone: (337) 330-0031
Fax: (337) 330-0059
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 10447R | Louisiana |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 10447R | Louisiana |
Profile Details
| NPI number | 1154322923 |
|---|---|
| LBN Legal business name | Atwi, Jibran Elias |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | Nov 5th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154322923 | NPPES |
| Louisiana | MEDICAID | 1988791 |
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