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Contact Information

DANIELLE R ADAM, ATC, LAT, CPHT
602 N ACADIA RD
THIBODAUX, LA70301-4823
 Phone: 985-447-5500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
 

Pharmacy Technician

183700000X
Indicates primary specialty

NPI Profile & details for DANIELLE R ADAM · (Female)

NPI # 1467834192
Status Active
Credentials ATC, LAT, CPHT
Entity Individual
Enumeration date 06/18/2015
Last updated 06/18/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 008432
  • LA License # 200325
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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