C V Guillermo Jr A Professional Medical Corp

LBN: C V Guillermo Jr A Professional Medical Corp
C V Guillermo Jr A Professional Medical Corp is an health care organization with primary practice located at 4912 Highway 1 , Raceland LA 70394. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. C V Guillermo Jr A Professional Medical Corp can be contacted via phone (985) 532-5092, or through Guillermo, Claudio V via phone (985) 532-5092.

Contact Information

Primary practice address
4912 Highway 1 Raceland LA 70394
Phone: (985) 532-5092
Fax: (985) 532-8044
Website:
Map and Directions
Authorized official contact:
Name: Guillermo, Claudio V
Phone: (985) 532-5092

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 03719R Louisiana

Profile Details

NPI number 1417085143
LBN Legal business name C V Guillermo Jr A Professional Medical Corp
DBA Doing business as
Authorized official Guillermo, Claudio V
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2007
Last updated Aug 22nd, 2020 - about 4 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 1417085143 NPPES
Louisiana Other 1574214481 BLUE CROSS
Louisiana MEDICAID 1124087 BLUE CROSS

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