Jevin Marc Bordelon in Basile - Family Medicine
Jevin Marc Bordelon - NPI 1760643928
Jevin Marc Bordelon is a Family Medicine in Basile, Louisiana. Jevin Marc Bordelon practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jevin Marc Bordelon is 1760643928. The last update date is 2011-07-05.
Jevin Marc Bordelon's current location address is 9000 Evangeline Hwy, Basile, Louisiana. You can contact this provider via phone number 3374326712. The mailing address for Jevin Marc Bordelon is 9000 Evangeline Hwy, Basile, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jevin Marc Bordelon |
|---|---|
| Address | 9000 Evangeline Hwy, Basile, Louisiana |
| Phone Number | 3374326712 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1760643928 |
|---|---|
| Provider Enumeration Date | 2008-06-20 |
| Last Updated Date | 2011-07-05 |
Provider Mailing Address Detail
| Address | 9000 Evangeline Hwy |
|---|---|
| City | Basile |
| State | Louisiana (LA) |
| Post Code | 705153332 |
| Phone Number | 3374326712 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD.204694 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique identification code assigned to Jevin Marc Bordelon by the Centers for Medicare & Medicaid Services?
The Jevin Marc Bordelon has been issued the NPI (National Provider Identifier) 1760643928. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jevin Marc Bordelon?
The Jevin Marc Bordelon is physically situated at 9000 Evangeline Hwy, in the city of Basile, state of LA, with the postal code 705153332.
What is the Jevin Marc Bordelon's area of specialization and corresponding taxonomy classification?
The Jevin Marc Bordelon's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Jevin Marc Bordelon receive its 1760643928 assignment from the Centers for Medicare & Medicaid Services?
The Jevin Marc Bordelon was assigned its 1760643928 by the Centers for Medicare & Medicaid Services on 2008-06-20.
When was the information related to Jevin Marc Bordelon most recently updated or refreshed?
The details pertaining to the Jevin Marc Bordelon, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-07-05.