Plaza Orthopedic & Sports Medicine Clinic Llc

LBN: Plaza Orthopedic & Sports Medicine Clinic Llc
Plaza Orthopedic & Sports Medicine Clinic Llc is an health care organization with primary practice located at 15781 Professional Plz , Hammond LA 70403-1452. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Plaza Orthopedic & Sports Medicine Clinic Llc can be contacted via phone (985) 542-1533, or through Fambrough, John L via phone (985) 542-1533.

Contact Information

Primary practice address
15781 Professional Plz Hammond LA 70403-1452
Phone: (985) 542-1533
Fax: (985) 542-6713
Website:
Map and Directions
Authorized official contact:
Name: Fambrough, John L Doctor of Medicine (MD)
Phone: (985) 542-1533

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1922048735
LBN Legal business name Plaza Orthopedic & Sports Medicine Clinic Llc
DBA Doing business as
Authorized official Fambrough, John L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2006
Last updated Feb 11th, 2010 - about 14 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 1922048735 NPPES
Louisiana MEDICAID 1949256

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