Jerideau, Samuel Lamont

Jerideau, Samuel Lamont is an sole proprietor health care provider with primary practice located at 1459 Acton Ave , Duncanville TX 75137-3338. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Jerideau, Samuel Lamont can be contacted via phone (972) 780-0118.

Contact Information

Primary practice address
1459 Acton Ave Duncanville TX 75137-3338
Fax: (972) 780-0491
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 651668 Texas

Profile Details

NPI number 1790719748
LBN Legal business name Jerideau, Samuel Lamont
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Sep 26th, 2011 - 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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