Thibodeaux, Michele Rodrigue

Thibodeaux, Michele Rodrigue is an individual health care provider with primary practice located at 500 Rue De La Vie Suite 405, Baton Rouge LA 70817-5128. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Thibodeaux, Michele Rodrigue can be contacted via phone (225) 928-2555.

Contact Information

Primary practice address
500 Rue De La Vie Suite 405 Baton Rouge LA 70817-5128
Phone: (225) 928-2555
Fax: (225) 929-9685
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X RN065691-AP02120 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X AP02120 Louisiana

Profile Details

NPI number 1265754618
LBN Legal business name Thibodeaux, Michele Rodrigue
Credentials CNNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2010
Last updated Dec 28th, 2016 - about 10 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 1265754618 NPPES
Louisiana MEDICAID 2174703

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