Shana Madalyn Wiltz

LBN: Exotic Expressions Inc.
Shana Madalyn Wiltz is an health care organization with primary practice located at 729 Cecile Blvd , Breaux Bridge LA 70517-5707. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Exotic Expressions Inc. can be contacted via phone (337) 376-0473, or through Wiltz, Shana Madalyn via phone (337) 376-0473.

Contact Information

Primary practice address
729 Cecile Blvd Breaux Bridge LA 70517-5707
Phone: (337) 376-0473
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wiltz, Shana Madalyn LICENSED
Phone: (337) 376-0473

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X 11041986 Louisiana

Profile Details

NPI number 1295272623
LBN Legal business name Exotic Expressions Inc.
DBA Doing business as Shana Madalyn Wiltz
Authorized official Wiltz, Shana Madalyn LICENSED
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2017
Last updated Jan 24th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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