1477708360 NPI number — HEBERT & HEBERT LTD

Table of content: (NPI 1477708360)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477708360 NPI number — HEBERT & HEBERT LTD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEBERT & HEBERT LTD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
HEBERT & HEBERT LTD
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477708360
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/19/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
118 VILLAGE ST
Provider Second Line Business Mailing Address:
SUITE C
Provider Business Mailing Address City Name:
SLIDELL
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70458-5302
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
985-290-1883
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
118 VILLAGE ST
Provider Second Line Business Practice Location Address:
SUITE C
Provider Business Practice Location Address City Name:
SLIDELL
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70458-5302
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
985-290-1883
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/19/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HEBERT
Authorized Official First Name:
SHARON
Authorized Official Middle Name:
NICHOLE
Authorized Official Title or Position:
COUNSELOR
Authorized Official Telephone Number:
985-290-1883

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  LPC 2736 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1952455917 . This is a "PROVIDER NPI" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".