Provider Demographics
NPI:1548521693
Name:CHESNUT, ALAIN LEWIS EMERY (MD)
Entity type:Individual
Prefix:DR
First Name:ALAIN
Middle Name:LEWIS EMERY
Last Name:CHESNUT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 KRUMBHAAR DR
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-5534
Mailing Address - Country:US
Mailing Address - Phone:985-223-2504
Mailing Address - Fax:
Practice Address - Street 1:8120 MAIN ST STE 403
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-3403
Practice Address - Country:US
Practice Address - Phone:985-868-9960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-05
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD208168207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine