National Provider Identifier Database

C V GUILLERMO JR A PROFESSIONAL MEDICAL CORP
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

C V GUILLERMO JR A PROFESSIONAL MEDICAL CORP
4912 HIGHWAY 1
RACELAND, LA70394
Phone: 985-532-5092
Fax: 985-532-8044
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for C V GUILLERMO JR A PROFESSIONAL MEDICAL CORP

NPI Number 1417085143
Legal business name
LBN
C V GUILLERMO JR A PROFESSIONAL MEDICAL CORP
Authorized official CLAUDIO GUILLERMO - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/02/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • LA License #: 03719R
  • LA Medicaid: 1124087
  • LA Other: 1574214481 BLUE CROSS

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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