1306157292 NPI number — DR. JOSHUA RILETTE D.C

Table of content: DR. JOSHUA RILETTE D.C (NPI 1306157292)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306157292 NPI number — DR. JOSHUA RILETTE D.C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RILETTE
Provider First Name:
JOSHUA
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C
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:
1306157292
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/13/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
132 W HARRISON AVE
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:
70124-1357
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-488-1800
Provider Business Mailing Address Fax Number:
504-482-2100

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
128 W HARRISON AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW ORLEANS
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70124-1357
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-488-1800
Provider Business Practice Location Address Fax Number:
504-482-2100
Provider Enumeration Date:
06/25/2010

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: 111NT0100X , with the licence number:  1561 , 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)