Wk Bossier Internal Medicine

LBN: Wk Bossier Internal Medicine
Wk Bossier Internal Medicine is an health care organization with primary practice located at 2400 Hospital Dr Suite 420, Bossier City LA 71111-2385. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Wk Bossier Internal Medicine can be contacted via phone (318) 212-7910, or through Gavin, Greg J. via phone (318) 212-4232.

Contact Information

Primary practice address
2400 Hospital Dr Suite 420 Bossier City LA 71111-2385
Phone: (318) 212-7910
Fax: (318) 752-7915
Website:
Map and Directions
Authorized official contact:
Name: Gavin, Greg J.
Phone: (318) 212-4232

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1356522452
LBN Legal business name Wk Bossier Internal Medicine
DBA Doing business as
Authorized official Gavin, Greg J.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2007
Last updated Dec 16th, 2009 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356522452 NPPES
Louisiana MEDICAID 1025445

Popular Providers