Cherise A Irby, Md

LBN: Cherise A Irby, Md
Cherise A Irby, Md is an health care organization with primary practice located at 1801 Fairfield Ave Suite 103, Shreveport LA 71101-4443. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Cherise A Irby, Md can be contacted via phone (318) 629-4729, or through Irby, Cherise A via phone (318) 629-4729.

Contact Information

Primary practice address
1801 Fairfield Ave Suite 103 Shreveport LA 71101-4443
Fax: (318) 629-4730
Website:
Authorized official contact:
Name: Irby, Cherise A Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 024995 Louisiana

Profile Details

NPI number 1619157054
LBN Legal business name Cherise A Irby, Md
DBA Doing business as
Authorized official Irby, Cherise A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2007
Last updated Nov 13th, 2007 - 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 1619157054 NPPES
Louisiana Other 0402562 UNITED HEALTHCARE
Louisiana MEDICAID 1423301 UNITED HEALTHCARE
Louisiana Other 273431 UNITED HEALTHCARE
Louisiana Other P00023608 UNITED HEALTHCARE
Louisiana Other 7483495 UNITED HEALTHCARE

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