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Contact Information

JENNIFER M BLOCK
10101 PARK ROWE AVE STE 200
BATON ROUGE, LA70810-1685
 Phone: 225-769-2200
 Fax: 225-768-2185
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JENNIFER M BLOCK · (Female)

NPI # 1770689333
Status Active
Credentials
Entity Individual
Enumeration date 09/14/2006
Last updated 09/19/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • LA License # PA.200100
  • LA Medicaid 1099511
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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