Impact Physician Group, Pediatrics Llc

LBN: Impact Physician Group, Pediatrics Llc
Impact Physician Group, Pediatrics Llc is an health care organization with primary practice located at 2720 Rue De Jardin Ste 100 , Lake Charles LA 70605-4050. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Impact Physician Group, Pediatrics Llc can be contacted via phone (260) 407-8009, or through Miller, Paul via phone (678) 967-5599.

Contact Information

Primary practice address
2720 Rue De Jardin Ste 100 Lake Charles LA 70605-4050
Phone: (260) 407-8009
Fax: (260) 407-8009
Website:
Map and Directions
Authorized official contact:
Name: Miller, Paul
Phone: (678) 967-5599

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1689290603
LBN Legal business name Impact Physician Group, Pediatrics Llc
DBA Doing business as
Authorized official Miller, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2020
Last updated Mar 15th, 2022 - about 4 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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