Headache & Pain Center, A Medical Corporation

LBN: Headache & Pain Center, A Medical Corporation
Headache & Pain Center, A Medical Corporation is an health care organization with primary practice located at 123 Frontage A Rd , Gray LA 70359-6301. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as the primary health care specialty. Headache & Pain Center, A Medical Corporation can be contacted via phone (985) 580-1200, or through Ponder, Jimmy Nolan via phone (985) 580-1200.

Contact Information

Primary practice address
123 Frontage A Rd Gray LA 70359-6301
Phone: (985) 580-1200
Fax: (985) 580-1218
Website:
Map and Directions
Authorized official contact:
Name: Ponder, Jimmy Nolan Doctor of Medicine (MD)
Phone: (985) 580-1200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X

Profile Details

NPI number 1073568325
LBN Legal business name Headache & Pain Center, A Medical Corporation
DBA Doing business as
Authorized official Ponder, Jimmy Nolan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2006
Last updated Aug 8th, 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 1073568325 NPPES
Louisiana Other B5621 BC/BS PROVIDER NUMBER
Louisiana MEDICAID 1441708 BC/BS PROVIDER NUMBER

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