Perron, Andre Keath

Perron, Andre Keath is an individual health care provider with primary practice located at 1216 Camellia Blvd , Lafayette LA 70508-6667. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Perron, Andre Keath can be contacted via phone (337) 769-0069.

Contact Information

Primary practice address
1216 Camellia Blvd Lafayette LA 70508-6667
Phone: (337) 769-0069
Fax: (337) 769-0068
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 009981 Louisiana

Profile Details

NPI number 1124026802
LBN Legal business name Perron, Andre Keath
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Feb 20th, 2013 - about 12 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 1124026802 NPPES
Louisiana MEDICAID 1100943

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