1386897296 NPI number — THOMAS S. GUILLOT, JR. MD APMC

Table of content: (NPI 1386897296)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386897296 NPI number — THOMAS S. GUILLOT, JR. MD APMC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THOMAS S. GUILLOT, JR. MD APMC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1386897296
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/16/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7777 HENNESSY BLVD
Provider Second Line Business Mailing Address:
MEDICAL PLAZA II, STE. 6001
Provider Business Mailing Address City Name:
BATON ROUGE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70808-4300
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
225-769-2955
Provider Business Mailing Address Fax Number:
225-769-4908

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7777 HENNESSY BLVD
Provider Second Line Business Practice Location Address:
MEDICAL PLAZA II, STE. 6001
Provider Business Practice Location Address City Name:
BATON ROUGE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70808-4300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
225-769-2955
Provider Business Practice Location Address Fax Number:
225-769-4908
Provider Enumeration Date:
10/23/2008

Additional Information

Authorized Official

Authorized Official Last Name:
GUILLOT
Authorized Official First Name:
THOMAS
Authorized Official Middle Name:
S.
Authorized Official Title or Position:
PLASTIC SURGEON
Authorized Official Telephone Number:
225-769-2955

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  015270 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com