Manuel Medical Clinic, Inc. Site 002
LBN: Manuel Medical Clinic, Inc.
Manuel Medical Clinic, Inc. Site 002 is an health care organization with primary practice located at 104 Genevieve Dr , Lafayette LA 70503-4811. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty.
Manuel Medical Clinic, Inc. can be contacted via phone (337) 984-0110, or through Manuel, Powlin V via phone (337) 984-0110.
Contact Information
Primary practice address
104 Genevieve Dr
Lafayette LA 70503-4811
Phone: (337) 984-0110
Fax: (337) 981-7210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | AP05389 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | AP07960 | Louisiana |
Profile Details
| NPI number | 1679620603 |
|---|---|
| LBN Legal business name | Manuel Medical Clinic, Inc. |
| DBA Doing business as | Manuel Medical Clinic, Inc. Site 002 |
| Authorized official | Manuel, Powlin V Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Apr 21st, 2020 - about 5 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 | 1679620603 | NPPES |
| Louisiana | MEDICAID | 2138332 | |
| Louisiana | MEDICAID | 1033901 | |
| Louisiana | MEDICAID | 1171689 | |
| Louisiana | MEDICAID | 2381369 |
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