Wk Pediatric Intensivist
LBN: Wk Pediatric Intensivist
Wk Pediatric Intensivist is an health care organization with primary practice located at 2510 Bert Koun Loop Rm 4003 , Shreveport LA 71118-3119. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as the primary health care specialty.
Wk Pediatric Intensivist can be contacted via phone (318) 212-5665, or through Gavin, Greg J. via phone (318) 212-3868.
Contact Information
Primary practice address
2510 Bert Koun Loop Rm 4003
Shreveport LA 71118-3119
Phone: (318) 212-5665
Fax: (318) 212-5698
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X |
Profile Details
| NPI number | 1023074549 |
|---|---|
| LBN Legal business name | Wk Pediatric Intensivist |
| DBA Doing business as | |
| Authorized official | Gavin, Greg J. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 24th, 2006 |
| Last updated | May 9th, 2018 - about 7 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 | 1023074549 | NPPES |
| Louisiana | MEDICAID | 1099091 |
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