Herbert Ichinose, Md Apmc

LBN: Herbert Ichinose, Md Apmc
Herbert Ichinose, Md Apmc is an health care organization with primary practice located at 1361 Englewood Dr , Slidell LA 70458-3009. The organization recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Pathology, Technologists, Technicians & Other Technical Service Providers / Histology. Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Pathology is the primary health care specialty. Herbert Ichinose, Md Apmc can be contacted via phone (985) 781-9005, or through Ichinose, Herbert via phone (985) 781-9005.

Contact Information

Primary practice address
1361 Englewood Dr Slidell LA 70458-3009
Phone: (985) 781-9005
Fax: (985) 781-9007
Website:
Map and Directions
Authorized official contact:
Name: Ichinose, Herbert Doctor of Medicine (MD)
Phone: (985) 781-9005

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Pathology 246Q00000X MD.008092 Louisiana
Technologists, Technicians & Other Technical Service Providers / Histology 246QH0600X MD.008092 Louisiana

Profile Details

NPI number 1720212392
LBN Legal business name Herbert Ichinose, Md Apmc
DBA Doing business as
Authorized official Ichinose, Herbert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2009
Last updated May 11th, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720212392 NPPES
Louisiana MEDICAID 1107921

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