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NPI Profile for JACOB ARDOIN in SHREVEPORT, LA.
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Student in an Organized Health Care Education/Training Program |
390200000X | |||
Ophthalmology |
207W00000X | 18 | Physician/Ophthalmology |
| NPI Number | 1629712153 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/21/2022 | |
| Last updated | 01/07/2026 - About 5 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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JACOB ARDOIN
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JACOB ARDOIN