Internal Medicine Clinic Of Tangipahoa, Llc
LBN: Internal Medicine Clinic Of Tangipahoa, Llc
Internal Medicine Clinic Of Tangipahoa, Llc is an health care organization with primary practice located at 42388 Pelican Professional Park , Hammond LA 70403. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology, Podiatric Medicine & Surgery Service Providers / Podiatrist, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Internal Medicine Clinic Of Tangipahoa, Llc can be contacted via phone (985) 542-6251, or through Stevens, Nicholas C via phone (985) 542-6251.
Contact Information
Primary practice address
42388 Pelican Professional Park
Hammond LA 70403
Phone: (985) 542-6251
Fax: (985) 345-2386
Website:
Authorized official contact:
Name: Stevens, Nicholas C Doctor of Medicine (MD)
Phone: (985) 542-6251
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | ||
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X |
Profile Details
| NPI number | 1588678494 |
|---|---|
| LBN Legal business name | Internal Medicine Clinic Of Tangipahoa, Llc |
| DBA Doing business as | |
| Authorized official | Stevens, Nicholas C Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Aug 23rd, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588678494 | NPPES |
| Louisiana | Other | 10664-EQT2 | PODIATRY X-RAY REG # |
| Louisiana | Other | 19D0997591 | PODIATRY X-RAY REG # |
| Louisiana | Other | 5CB03 | PODIATRY X-RAY REG # |
| Louisiana | MEDICAID | 1442933 | PODIATRY X-RAY REG # |
| Louisiana | Other | 10664-EQT1 | PODIATRY X-RAY REG # |
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