Landry, Jared
Landry, Jared is an sole proprietor health care provider with primary practice located at 602 N Acadia Rd Anesthesia Dept., Thibodaux LA 70301-4847. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Landry, Jared can be contacted via phone (985) 438-1188.Contact Information
Primary practice address
602 N Acadia Rd Anesthesia Dept.
Thibodaux LA 70301-4847
Phone: (985) 438-1188
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD.206604 | Louisiana |
Profile Details
| NPI number | 1295059202 |
|---|---|
| LBN Legal business name | Landry, Jared |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 19th, 2010 |
| Last updated | Apr 10th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295059202 | NPPES |
| Louisiana | Other | 300093737 | RAILROAD MEDICARE PTAN |
| Louisiana | MEDICAID | 2106961 | RAILROAD MEDICARE PTAN |
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