1528331089 NPI number — OUR LADY OF LOURDES REGIONAL

Table of content: ROSALIND JACOBS LMT (NPI 1730898388)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528331089 NPI number — OUR LADY OF LOURDES REGIONAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OUR LADY OF LOURDES REGIONAL
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:
RICHARD HSIN FEI MD
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:
1528331089
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/14/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4801 AMBASSADOR CAFFERY PKWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAFAYETTE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70508-6917
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
227 BENDEL RD
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
LAFAYETTE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70503-2922
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
337-232-5864
Provider Business Practice Location Address Fax Number:
337-234-6887
Provider Enumeration Date:
02/14/2012

Additional Information

Authorized Official

Authorized Official Last Name:
FEI
Authorized Official First Name:
RICHARD
Authorized Official Middle Name:
HSIN
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
337-232-5864

Provider Taxonomy Codes

  • Taxonomy code: 261QM2500X , with the licence number:  10540R , 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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