1063756062 NPI number — MR. JOE LAVERNE ROOKS JR. ANP

Table of content: MR. JOE LAVERNE ROOKS JR. ANP (NPI 1063756062)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063756062 NPI number — MR. JOE LAVERNE ROOKS JR. ANP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROOKS
Provider First Name:
JOE
Provider Middle Name:
LAVERNE
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
JR.
Provider Credential Text:
ANP
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
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:
1063756062
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/16/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3981 PEACHTREE CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW ORLEANS
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70131-8315
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-228-4825
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3838 N CAUSEWAY BLVD STE 2200
Provider Second Line Business Practice Location Address:
THREE LAKEWAY CENTER
Provider Business Practice Location Address City Name:
METAIRIE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70002-8306
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-849-1356
Provider Business Practice Location Address Fax Number:
504-849-6987
Provider Enumeration Date:
11/15/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LA2200X , with the licence number:  AP06984 , 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)





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