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Contact Information

JOHN C HENDRICK, PA
4212 W CONGRESS ST
SUITE 3200
LAFAYETTE, LA70506-6765
 Phone: 337-273-2863
 Fax: 337-984-5428
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JOHN C HENDRICK · (Male)

NPI # 1205811957
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 12/14/2005
Last updated 10/06/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • LA License # A10268
  • LA Medicaid 1624799
  • LA Other 970014804 RR MEDICARE
Hospital affiliation(s)
  • LAFAYETTE GENERAL MEDICAL CENTER - (Acute Care)
    1214 COOLIDGE AVENUE
    LAFAYETTE, LA 70503
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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