Jackson Street Pediatrics, Llc

LBN: Jackson Street Pediatrics, Llc
Jackson Street Pediatrics, Llc is an health care organization with primary practice located at 5716 Jackson St , Alexandria LA 71303-2042. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Jackson Street Pediatrics, Llc can be contacted via phone (318) 767-6503, or through Wicker-Brown, Kai A via phone (313) 300-3637.

Contact Information

Primary practice address
5716 Jackson St Alexandria LA 71303-2042
Phone: (318) 767-6503
Fax: (318) 703-8257
Website:
Map and Directions
Authorized official contact:
Name: Wicker-Brown, Kai A Doctor of Medicine (MD)
Phone: (313) 300-3637

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1205454774
LBN Legal business name Jackson Street Pediatrics, Llc
DBA Doing business as
Authorized official Wicker-Brown, Kai A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2020
Last updated Jul 10th, 2020 - about 6 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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