Boudreaux, John Philip

Boudreaux, John Philip is an individual health care provider with primary practice located at 200 W Esplanade Ave Suite 200, Kenner LA 70065-2489. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Boudreaux, John Philip can be contacted via phone (504) 464-8500.

Contact Information

Primary practice address
200 W Esplanade Ave Suite 200 Kenner LA 70065-2489
Phone: (504) 464-8500
Fax: (504) 464-8525
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 014711 Louisiana

Profile Details

NPI number 1407879455
LBN Legal business name Boudreaux, John Philip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jan 15th, 2010 - about 15 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 1407879455 NPPES
Alabama MEDICAID 009932965
Alabama MEDICAID 08658853
Alabama MEDICAID 1337561

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