Extine, James H

Extine, James H is an individual health care provider with primary practice located at 2516 Broadmoor Blvd , Monroe LA 71201-2988. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Extine, James H can be contacted via phone (318) 807-4746.

Contact Information

Primary practice address
2516 Broadmoor Blvd Monroe LA 71201-2988
Phone: (318) 807-4746
Fax: (318) 812-6034
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 071493 Georgia
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X DO0000001192 Tennessee
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 307337 Louisiana

Profile Details

NPI number 1609803477
LBN Legal business name Extine, James H
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jun 11th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1609803477 NPPES
Louisiana MEDICAID 2462750
Louisiana Other 200037893
Louisiana Other TN0139
Louisiana Other 1170140002
Louisiana Other 373856800
Louisiana Other 3139316
Louisiana MEDICAID 3304909
Louisiana Other 1120944

Popular Providers