Theriot, Cory D

Theriot, Cory D is an individual health care provider with primary practice located at 315 Rue Louis Xiv Bldg B , Lafayette LA 70508-5734. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Theriot, Cory D can be contacted via phone (337) 269-9777.

Contact Information

Primary practice address
315 Rue Louis Xiv Bldg B Lafayette LA 70508-5734
Phone: (337) 269-9777
Fax: (337) 269-0244
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP04897 Louisiana

Profile Details

NPI number 1568485837
LBN Legal business name Theriot, Cory D
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Aug 20th, 2021 - about 5 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 1568485837 NPPES
Louisiana MEDICAID 1372986

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