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Contact Information

JACQUE P LEBEAU, MD
5153 NORTH 9TH AVE.
NEMOURS CHILDRENS CLINIC, PENSACOLA
PENSACOLA, FL32504-8785
 Phone: 850-505-4735
 Fax: 850-505-4714
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JACQUE P LEBEAU · (Male)

NPI Number 1891828281
Status Active
Credentials MD
Entity Individual
Enumeration date 03/14/2007
Last updated 02/13/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME105524
  • MO License # 2009009831
  • MO Medicaid 1891828281
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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