Guidry, Russell A

Guidry, Russell A is an sole proprietor health care provider with primary practice located at 424 W Mcneese St , Lake Charles LA 70605-5547. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Guidry, Russell A can be contacted via phone (337) 478-0511.

Contact Information

Primary practice address
424 W Mcneese St Lake Charles LA 70605-5547
Fax: (337) 478-5644
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 62102 Louisiana

Profile Details

NPI number 1043297229
LBN Legal business name Guidry, Russell A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2005
Last updated Oct 12th, 2016 - about 9 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 1043297229 NPPES
Louisiana Other 430028649 RAILROAD MEDICARE PIN
Louisiana MEDICAID 1989819 RAILROAD MEDICARE PIN

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