AMBROSE C THIBODEAUX JR, MT, Medical Technologist OPELOUSAS, LA

Contact Information

AMBROSE C THIBODEAUX JR, MT

1015 CHOCTAW DR
OPELOUSAS, LA 70570-6567

Phone: 337-934-6453
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Medical Technologist	246QM0706X

Indicates primary specialty

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NPI Profile & details for AMBROSE C THIBODEAUX JR · (Male)

NPI Number	`1538342431`
Status	Active
Credentials	MT
Entity	Individual
Enumeration date	12/13/2007
Last updated	12/13/2007 - About 18 years ago
Sole proprietor ¹	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(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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AMBROSE C THIBODEAUX JR, MT – NPI #1538342431Medical Technologist

Contact Information

Specialty

Medical Technologist

NPI Profile & details for AMBROSE C THIBODEAUX JR · (Male)

Reviews for AMBROSE C THIBODEAUX JR

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