Wk Orthopedic Clinic

LBN: Wk Orthopedic Clinic
Wk Orthopedic Clinic is an health care organization with primary practice located at 7925 Youree Dr Suite 200, Shreveport LA 71105-5127. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Wk Orthopedic Clinic can be contacted via phone (318) 212-3610, or through Gavin, Greg J via phone (318) 212-4232.

Contact Information

Primary practice address
7925 Youree Dr Suite 200 Shreveport LA 71105-5127
Fax: (318) 212-3672
Website:
Authorized official contact:
Name: Gavin, Greg J

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X

Profile Details

NPI number 1780612119
LBN Legal business name Wk Orthopedic Clinic
DBA Doing business as
Authorized official Gavin, Greg J
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2006
Last updated Feb 5th, 2013 - about 11 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 1780612119 NPPES
Louisiana MEDICAID 1452891

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