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:

Map and Directions

Health care specialties

Specialty	Code	License #	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 4 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

State	Type	Number	Issuer
All States	NPI	1407823594	NPPES
Louisiana	MEDICAID	1178624

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