Dr. Bruce S. Samuels, Llc

LBN: Dr. Bruce S. Samuels, Llc
Dr. Bruce S. Samuels, Llc is an health care organization with primary practice located at 189 Greenbriar Blvd Suite C, Covington LA 70433-7234. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Dr. Bruce S. Samuels, Llc can be contacted via phone (985) 871-8920, or through Perez, Cheryl via phone (985) 871-4910.

Contact Information

Primary practice address
189 Greenbriar Blvd Suite C Covington LA 70433-7234
Fax: (985) 871-9796
Website:
Authorized official contact:
Name: Perez, Cheryl

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 012831 Louisiana
Other Service Providers / Specialist 174400000X 013678 Louisiana

Profile Details

NPI number 1700920725
LBN Legal business name Dr. Bruce S. Samuels, Llc
DBA Doing business as
Authorized official Perez, Cheryl
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2007
Last updated Jun 7th, 2013 - about 11 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 1700920725 NPPES
Louisiana MEDICAID 1795704

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