Breaux, Jack L.

Breaux, Jack L. is an individual health care provider with primary practice located at 8080 Bluebonnet Blvd Ste 2222, Baton Rouge LA 70810-7828. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck is his primary health care specialty. Breaux, Jack L. can be contacted via phone (225) 769-2222.

Contact Information

Primary practice address
8080 Bluebonnet Blvd Ste 2222 Baton Rouge LA 70810-7828
Phone: (225) 769-2222
Fax: (225) 757-8061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X 013762 Louisiana
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 013762 Louisiana

Profile Details

NPI number 1720081193
LBN Legal business name Breaux, Jack L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Jun 25th, 2026 - about 5 months 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 1720081193 NPPES
Louisiana MEDICAID 1185761

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