Mandeville Pediatric Clinic
LBN: Dr. Tintin Devoe A Professional Medical Corporation
Mandeville Pediatric Clinic is an health care organization with primary practice located at 4880 Highway 22 , Mandeville LA 70471-6748. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty.
Dr. Tintin Devoe A Professional Medical Corporation can be contacted via phone (985) 845-8894, or through Devoe, Albert via phone (985) 845-8894.
Contact Information
Primary practice address
4880 Highway 22
Mandeville LA 70471-6748
Phone: (985) 845-8894
Fax: (985) 845-1969
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 016922 | Louisiana |
Profile Details
| NPI number | 1043329071 |
|---|---|
| LBN Legal business name | Dr. Tintin Devoe A Professional Medical Corporation |
| DBA Doing business as | Mandeville Pediatric Clinic |
| Authorized official | Devoe, Albert |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Mar 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043329071 | NPPES |
| Other | 0678432 | AETNA | |
| Other | 174540401769 | AETNA | |
| Other | 4254173 | AETNA | |
| Other | 53252 | AETNA | |
| Other | 26652840A | AETNA | |
| MEDICAID | 1447048 | AETNA | |
| Other | 1200111 | AETNA | |
| MEDICAID | 1326551 | AETNA | |
| Other | 85720 | AETNA |
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