Wise, Johnathan Lloyd

Wise, Johnathan Lloyd is an sole proprietor health care provider with primary practice located at 406 N Acadia Rd , Thibodaux LA 70301-4856. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Wise, Johnathan Lloyd can be contacted via phone (985) 446-2890.

Contact Information

Primary practice address
406 N Acadia Rd Thibodaux LA 70301-4856
Phone: (985) 446-2890
Fax: (985) 446-2189
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD.308148 Louisiana

Profile Details

NPI number 1992125355
LBN Legal business name Wise, Johnathan Lloyd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2014
Last updated Jul 2nd, 2018 - about 7 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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