National Provider Identifier Database

AMBROSE C THIBODEAUX JR, MT – NPI #1538342431
Medical Technologist


Contact Information

AMBROSE C THIBODEAUX JR, MT
1015 CHOCTAW DR
OPELOUSAS, LA70570-6567
Phone: 337-934-6453
Fax:
Website:
Specialty Taxonomy Code
* Medical Technologist 246QM0706X

* Indicates primary specialty

NPI Profile & details for AMBROSE C THIBODEAUX JR

NPI Number 1538342431
Credentials MT
Entity Individual
Enumeration date 12/13/2007
Last updated 12/13/2007 - About 18 years ago
Sole proprietor1 Yes
Identifiers
  • LA License #: CLP.G02111-GEN
  • LA Other: CLP.G02111-GEN ST BRD MEDICAL EXAMINES
  • MT Other: 1499 BRD CLIN LAB SCIEN PRACT
  • NE Other: 19554TCL-0 BUR OF LIC & CERT.
Hospital affiliation n/a

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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