Thibodeaux, Anthony Collins

Thibodeaux, Anthony Collins is an individual health care provider with primary practice located at 4630 Ambassador Caffery Pkwy Ste 208, Lafayette LA 70508-6949. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Thibodeaux, Anthony Collins can be contacted via phone (337) 981-6100.

Contact Information

Primary practice address
4630 Ambassador Caffery Pkwy Ste 208 Lafayette LA 70508-6949
Phone: (337) 981-6100
Fax: (337) 988-8751
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 107454R Louisiana

Profile Details

NPI number 1336147081
LBN Legal business name Thibodeaux, Anthony Collins
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Aug 14th, 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 1336147081 NPPES
Louisiana Other 990004179 PALMETTO GBA - RAILROAD M
Louisiana MEDICAID 1493180 PALMETTO GBA - RAILROAD M

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