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Contact Information

THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
400 N ACADIA RD
THIBODAUX, LA70301-4856
 Phone: 985-493-4004
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Dietetic Technician, Registered

136A00000X
Indicates primary specialty

NPI Profile & details for THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION · (Female)

NPI Number 1770241507
Status Active
Credentials
Entity Individual
Enumeration date 11/29/2021
Last updated 05/09/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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