1710119987 NPI number — MRS. ROBIN SILVERMAN ROSER DPT

Table of content: MRS. ROBIN SILVERMAN ROSER DPT (NPI 1710119987)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710119987 NPI number — MRS. ROBIN SILVERMAN ROSER DPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROSER
Provider First Name:
ROBIN
Provider Middle Name:
SILVERMAN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
DPT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SILVERMAN
Provider Other First Name:
ROBIN
Provider Other Middle Name:
ANN
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
DPT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1710119987
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/06/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
LA HEALTH SOLUTIONS
Provider Second Line Business Mailing Address:
3001 DIVISION ST
Provider Business Mailing Address City Name:
METAIRIE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70002
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-733-0254
Provider Business Mailing Address Fax Number:
504-734-8869

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
LA HEALTH SOLUTIONS
Provider Second Line Business Practice Location Address:
3001 DIVISION ST., SUITE 105
Provider Business Practice Location Address City Name:
METAIRIE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-832-3937
Provider Business Practice Location Address Fax Number:
504-734-8869
Provider Enumeration Date:
08/20/2009

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: 225100000X , with the licence number:  07392 , 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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