Urology Clinic
LBN: Urology Clinic Of Northeast Louisiana - A Medical Corporation
Urology Clinic is an health care organization with primary practice located at 711 Saint John Street , Monroe LA 71201-8435. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty.
Urology Clinic Of Northeast Louisiana - A Medical Corporation can be contacted via phone (318) 387-9420, or through Johnson, Jon Bradley via phone (318) 387-9420.
Contact Information
Primary practice address
711 Saint John Street
Monroe LA 71201-8435
Phone: (318) 387-9420
Fax: (318) 323-8216
Website:
Authorized official contact:
Name: Johnson, Jon Bradley Doctor of Medicine (MD)
Phone: (318) 387-9420
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 013314 | Louisiana |
| Allopathic & Osteopathic Physicians / Urology | 208800000X |
Profile Details
| NPI number | 1760418396 |
|---|---|
| LBN Legal business name | Urology Clinic Of Northeast Louisiana - A Medical Corporation |
| DBA Doing business as | Urology Clinic |
| Authorized official | Johnson, Jon Bradley Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Oct 19th, 2012 - about 12 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 | 1760418396 | NPPES |
| Louisiana | MEDICAID | 1106607 |
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