Ieyoub, Jonathan Daniel

Ieyoub, Jonathan Daniel is an individual health care provider with primary practice located at 9103 Jefferson Hwy , Baton Rouge LA 70809-2440. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Ieyoub, Jonathan Daniel can be contacted via phone (225) 927-1190.

Contact Information

Primary practice address
9103 Jefferson Hwy Baton Rouge LA 70809-2440
Phone: (225) 927-1190
Fax: (225) 927-0988
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APO4309 Louisiana

Profile Details

NPI number 1407823594
LBN Legal business name Ieyoub, Jonathan Daniel
Credentials FNPC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Jul 21st, 2022 - about 3 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 1407823594 NPPES
Louisiana MEDICAID 1178624

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