Belanger, Kim Thibodeaux

Belanger, Kim Thibodeaux is an individual health care provider with primary practice located at 106 Lynwood Dr , Houma LA 70360-6224. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Belanger, Kim Thibodeaux can be contacted via phone (985) 851-1639.

Contact Information

Primary practice address
106 Lynwood Dr Houma LA 70360-6224
Phone: (985) 851-1639
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 11851 Louisiana

Profile Details

NPI number 1740510684
LBN Legal business name Belanger, Kim Thibodeaux
Credentials PD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2009
Last updated Dec 26th, 2009 - 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 1740510684 NPPES
Louisiana Other 11851 PHARMACIST LICENSE

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