Doctor Name: | ANNE E RODRIGUE |
NPI Number: | 1295962165 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | |
Business Practice Address: | 506 N Acadia Rd Thibodaux, LA - 703014862 |
Business Phone Number: | 9854481216 |
Business Fax Number: | 9854468765 |
Mailing Address: | Po Box 5478, THIBODAUX |
State: | LA |
Postal Code: | 703025478 |
Phone Number: | 9854481216 |
Fax Number: | 9854468765 |
NPI Enumeration Date: | 06/17/2009 |
NPI Last Update Date: | 08/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |