Modisette, James Kevin

Modisette, James Kevin is an individual health care provider with primary practice located at 604 N. Acadia Rd. Suite 405, Thibodaux LA 70301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Modisette, James Kevin can be contacted via phone (985) 446-0871.

Contact Information

Primary practice address
604 N. Acadia Rd. Suite 405 Thibodaux LA 70301
Phone: (985) 446-0871
Fax: (985) 446-0874
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 22699 Louisiana

Profile Details

NPI number 1063413995
LBN Legal business name Modisette, James Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Sep 25th, 2009 - about 17 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 1063413995 NPPES
Louisiana MEDICAID 1492141
Louisiana Other 7814220

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