Jeremy Romaine Leblanc

Individual provider Active NPI Non-emergency Medical Transport (VAN) · Longville, LA

NPI 1578233136 · NPPES record last updated Sep 15, 2021

Key facts

NPI
1578233136
Entity type
Individual (NPI type 1)
Primary specialty
Non-emergency Medical Transport (VAN) 343900000X
Practice address
338 Ragle Rd
Longville, LA 70652-3302
Phone
(346) 245-3509
NPI assigned
Sep 15, 2021
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Yes

Addresses

Primary practice location

338 Ragle Rd
Longville, LA 70652-3302

Mailing address

338 Ragle Rd
Longville, LA 70652-3302
Phone (346) 245-3509

Other identifiers

IdentifierTypeStateIssuer
84-3415748MedicaidLA

Electronic endpoints

TypeEndpointUseAffiliation
Other URL Leblancsmts@gmail.com Direct

Other providers in Longville, LA

All providers in Longville, LA · Non-emergency Medical Transport (VAN) in Louisiana

Sources for this page

Verify at the official NPI Registry.