Thibodeaux, Brent K
Thibodeaux, Brent K is an individual health care provider with primary practice located at 1514 Jefferson Hwy , New Orleans LA 70121-2429. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as his primary health care specialty. Thibodeaux, Brent K can be contacted via phone (504) 842-4000.Contact Information
Primary practice address
1514 Jefferson Hwy
New Orleans LA 70121-2429
Phone: (504) 842-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | RN098583 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | AP04823 | Louisiana |
Profile Details
| NPI number | 1801905740 |
|---|---|
| LBN Legal business name | Thibodeaux, Brent K |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jun 30th, 2011 - about 15 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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