Melanie C Frederick

LBN: Melanie C Frederick
Melanie C Frederick is an health care organization with primary practice located at 2508 Bert Kouns Loop Suite 103, Shreveport LA 71118-3133. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Melanie C Frederick can be contacted via phone (318) 687-5277, or through Gavin, Greg J. via phone (318) 687-5277.

Contact Information

Primary practice address
2508 Bert Kouns Loop Suite 103 Shreveport LA 71118-3133
Phone: (318) 687-5277
Fax: (318) 687-5386
Website:
Map and Directions
Authorized official contact:
Name: Gavin, Greg J.
Phone: (318) 687-5277

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1407882178
LBN Legal business name Melanie C Frederick
DBA Doing business as
Authorized official Gavin, Greg J.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2006
Last updated Aug 22nd, 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.

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