Wallace Jeanfreau in Metairie - Internal Medicine

Wallace Jeanfreau - NPI 1518065978

Wallace Jeanfreau is a Internal Medicine in Metairie, Louisiana. Wallace Jeanfreau practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Wallace Jeanfreau is 1518065978. The last update date is 2020-01-31.

Wallace Jeanfreau's current location address is 3800 Houma Blvd, Metairie, Louisiana. You can contact this provider via phone number 5047795859 and fax number 9856266995. The mailing address for Wallace Jeanfreau is 3800 Houma Blvd, Metairie, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Wallace Jeanfreau
Address 3800 Houma Blvd, Metairie, Louisiana
Phone Number 5047795859
Fax Number 9856266995
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1518065978
Provider Enumeration Date 2006-09-20
Last Updated Date 2020-01-31

Provider Mailing Address Detail

Address 3800 Houma Blvd
City Metairie
State Louisiana (LA)
Post Code 700064182
Phone Number 5047795859
Fax Number 9856266995

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 15285
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1329088 LA --

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FAQs about Wallace Jeanfreau

What is the unique 10-digit identification code issued to Wallace Jeanfreau by the Centers for Medicare & Medicaid Services?

The Wallace Jeanfreau has been assigned the NPI (National Provider Identifier) 1518065978 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Wallace Jeanfreau is located?

The Wallace Jeanfreau is situated at the following address: 3800 Houma Blvd, Metairie, LA, 700064182.

What is the Wallace Jeanfreau's specialty and taxonomy code?

The Wallace Jeanfreau's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1518065978 to Wallace Jeanfreau?

The Wallace Jeanfreau received its 1518065978 assignment from the Centers for Medicare & Medicaid Services on 2006-09-20.

As of what date was the information pertaining to Wallace Jeanfreau, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Wallace Jeanfreau, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-01-31.

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