Monica Larose Haynes Md And Willis-Knighton Medical Center
LBN: Monica Larose Haynes Md And Willis-Knighton Medical Center
Monica Larose Haynes Md And Willis-Knighton Medical Center is an health care organization with primary practice located at 7847 Youree Dr , Shreveport LA 71105-5505. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty.
Monica Larose Haynes Md And Willis-Knighton Medical Center can be contacted via phone (318) 212-3930, or through Gavin, Greg J. via phone (318) 212-3930.
Contact Information
Primary practice address
7847 Youree Dr
Shreveport LA 71105-5505
Phone: (318) 212-3930
Fax: (318) 212-3935
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
| NPI number | 1891721130 |
|---|---|
| LBN Legal business name | Monica Larose Haynes Md And Willis-Knighton Medical Center |
| DBA Doing business as | |
| Authorized official | Gavin, Greg J. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 25th, 2006 |
| Last updated | Dec 14th, 2007 - 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 | 1891721130 | NPPES |
| Louisiana | MEDICAID | 1487082 |
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