1972800415 NPI number — PEOPLE UNITED OF LOUISIANA LLC

Table of content: DR. CRAWFORD PARKER III M.D. (NPI 1134254147)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972800415 NPI number — PEOPLE UNITED OF LOUISIANA LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PEOPLE UNITED OF LOUISIANA LLC
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:
Provider Other Organization Name Type Code:
6
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:
1972800415
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/18/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2142 ONEAL LN
Provider Second Line Business Mailing Address:
STE 311
Provider Business Mailing Address City Name:
BATON ROUGE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70816-3205
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
225-278-8375
Provider Business Mailing Address Fax Number:
225-756-4495

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1401 HUDSON LN
Provider Second Line Business Practice Location Address:
STE 202
Provider Business Practice Location Address City Name:
MONROE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71201-6068
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
318-323-1300
Provider Business Practice Location Address Fax Number:
318-323-1400
Provider Enumeration Date:
02/18/2011

Additional Information

Authorized Official

Authorized Official Last Name:
ROACH
Authorized Official First Name:
STEPHANIE
Authorized Official Middle Name:
L
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
225-278-8375

Provider Taxonomy Codes

  • Taxonomy code: 251B00000X , with the licence number:  CM 27048 , 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)





Copyright © 2007-2025 www.npivalidator.com