Brent O Campanella, Md

LBN: Brent O Campanella, Md
Brent O Campanella, Md is an health care organization with primary practice located at 5131 Essen Ln , Baton Rouge LA 70809-3541. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Brent O Campanella, Md can be contacted via phone (225) 769-0043, or through Campanella, Brent O via phone (225) 769-0043.

Contact Information

Primary practice address
5131 Essen Ln Baton Rouge LA 70809-3541
Phone: (225) 769-0043
Fax: (225) 769-0133
Website:
Map and Directions
Authorized official contact:
Name: Campanella, Brent O Doctor of Medicine (MD)
Phone: (225) 769-0043

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1104095959
LBN Legal business name Brent O Campanella, Md
DBA Doing business as
Authorized official Campanella, Brent O Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2008
Last updated Feb 26th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104095959 NPPES
Louisiana MEDICAID 1393053

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