Thibodeaux, Louis
Thibodeaux, Louis is an individual health care provider with primary practice located at 11155 Kenwood Rd , Cincinnati OH 45242-1817. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Thibodeaux, Louis can be contacted via phone (513) 385-1919.Contact Information
Primary practice address
11155 Kenwood Rd
Cincinnati OH 45242-1817
Phone: (513) 385-1919
Fax: (513) 385-6208
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35063926 | Ohio |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 35063926 | Ohio |
Profile Details
| NPI number | 1922080308 |
|---|---|
| LBN Legal business name | Thibodeaux, Louis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Sep 8th, 2008 - about 17 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 | 1922080308 | NPPES |
| Ohio | MEDICAID | 0943242 | |
| Ohio | Other | 310837421SA | |
| Ohio | Other | 000000007820 | |
| Ohio | MEDICAID | 100328970A | |
| Ohio | MEDICAID | 64958879 | |
| Ohio | Other | 14096 | |
| Ohio | MEDICAID | 310837421027 | |
| Ohio | Other | 1701181 | |
| Ohio | Other | 9246433001 | |
| Ohio | Other | 0972646 | |
| Ohio | Other | 310837421 |
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