Individual
MS. JILL MARIE BADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 RUE DE LA VIE ST, SUITE 100, BATON ROUGE, LA 70817-5126
(225) 201-2000
(225) 201-2110
Mailing address
500 RUE DE LA VIE ST, SUITE 100, BATON ROUGE, LA 70817-5126
(225) 201-2000
(225) 201-2110
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
202310
LA
207V00000X
Obstetrics & Gynecology Physician
48937-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1187321
—
LA
01
—
JBADER
MD
WI
Enumeration date
11/04/2006
Last updated
09/27/2012
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