Louis-Jacques, Philippe

Louis-Jacques, Philippe is an individual health care provider with primary practice located at 671 Nw 119 Street , North Miami FL 33168. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Louis-Jacques, Philippe can be contacted via phone (305) 688-0811.

Contact Information

Primary practice address
671 Nw 119 Street North Miami FL 33168
Phone: (305) 688-0811
Fax: (305) 688-6304
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9103385 Florida

Profile Details

NPI number 1225219975
LBN Legal business name Louis-Jacques, Philippe
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2007
Last updated Apr 16th, 2012 - about 14 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 1225219975 NPPES
Florida MEDICAID 001126500

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