1629612288 NPI number — MS. CHAQUINAIS DESHERRON BIRCHFIELD NP

Table of content: MS. CHAQUINAIS DESHERRON BIRCHFIELD NP (NPI 1629612288)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629612288 NPI number — MS. CHAQUINAIS DESHERRON BIRCHFIELD NP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BIRCHFIELD
Provider First Name:
CHAQUINAIS
Provider Middle Name:
DESHERRON
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
NP
Provider Gender Code:
F

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:
1629612288
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/31/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2104 GAUSE BLVD W STE A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SLIDELL
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70460-4130
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:
151 THAMES AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BAY ST LOUIS
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
39520-5002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
985-643-4575
Provider Business Practice Location Address Fax Number:
833-222-4520
Provider Enumeration Date:
11/06/2019

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: 363LF0000X , with the licence number:  906151 , registered in the state of MS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 363LF0000X , with the licence number: 232176 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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