| James N. Domingue M.d. Apmc | |
|
1245 S College Rd Suite 100 Lafayette LA 70503-2907 | |
| (337) 269-5840 | |
| (337) 237-7568 |
| Full Name | James N. Domingue M.d. Apmc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1245 S College Rd, Lafayette, Louisiana |
| Authorized Official Name and Position | James Neal Domingue (PRESIDENT) |
| Authorized Official Contact | 3372695840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James N. Domingue M.d. Apmc 1245 S College Rd Suite 100 Lafayette LA 70503-2907 Ph: (337) 269-5840 | James N. Domingue M.d. Apmc 1245 S College Rd Suite 100 Lafayette LA 70503-2907 Ph: (337) 269-5840 |
| NPI Number | 1356471601 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 10/30/2013 |
| Medicare PECOS PAC ID | 8224118955 |
|---|---|
| Medicare Enrollment ID | O20080107000682 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356471601 | NPI | - | NPPES |
| 1190497 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | 012702 (Louisiana) | Primary |
| Provider Name | James N Domingue |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699779645 PECOS PAC ID: 4789764416 Enrollment ID: I20080107000668 |
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