Individual
JUDE C HEBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
424 W. MCNEESE STREET, LAKE CHARLES, LA 70605-5547
(337) 478-0511
(337) 478-5660
Mailing address
424 W MCNEESE ST, LAKE CHARLES, LA 70605-5547
(337) 478-0511
(337) 478-5660
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
04436
LA
367500000X
Certified Registered Nurse Anesthetist
835046
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093692
RN
LA
05
—
1460869
—
LA
01
—
423184ZMJF
MEDICARE PTAN
LA
Enumeration date
10/17/2006
Last updated
10/13/2016
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