Theriot, Jeanne Dauphine
Theriot, Jeanne Dauphine is an individual health care provider with primary practice located at 112 Champagne Blvd , Breaux Bridge LA 70517-3852. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Theriot, Jeanne Dauphine can be contacted via phone (337) 332-2242.Contact Information
Primary practice address
112 Champagne Blvd
Breaux Bridge LA 70517-3852
Phone: (337) 332-2242
Fax: (337) 332-4074
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 200073 | Louisiana |
Profile Details
| NPI number | 1093763625 |
|---|---|
| LBN Legal business name | Theriot, Jeanne Dauphine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Feb 12th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093763625 | NPPES |
| Louisiana | MEDICAID | 1062472 |
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