Provider Demographics
NPI:1104929322
Name:RIGAUX, ARMAND JULES (MD)
Entity type:Individual
Prefix:
First Name:ARMAND
Middle Name:JULES
Last Name:RIGAUX
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 1:1219 N. MAIN ST.
Mailing Address - Street 2:
Mailing Address - City:BEAVER DAM
Mailing Address - State:KY
Mailing Address - Zip Code:42320
Mailing Address - Country:US
Mailing Address - Phone:270-274-1800
Mailing Address - Fax:270-274-5600
Practice Address - Street 1:1219 N. MAIN ST.
Practice Address - Street 2:
Practice Address - City:BEAVER DAM
Practice Address - State:KY
Practice Address - Zip Code:42320
Practice Address - Country:US
Practice Address - Phone:270-274-1800
Practice Address - Fax:270-274-5600
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200400404207P00000X
IN01019349A207Q00000X
KY40210207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCPENDINGMedicaid
E03807Medicare UPIN
NCPENDINGMedicare ID - Type Unspecified
1664208Medicare PIN