Mark Shoptaugh Jr. Md Llc

LBN: Mark Shoptaugh Jr. Md Llc
Mark Shoptaugh Jr. Md Llc is an health care organization with primary practice located at 4363 Convention St , Baton Rouge LA 70806-3906. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Mark Shoptaugh Jr. Md Llc can be contacted via phone (225) 522-4076, or through Shoptaugh, Mark Charles via phone (225) 603-5935.

Contact Information

Primary practice address
4363 Convention St Baton Rouge LA 70806-3906
Phone: (225) 522-4076
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shoptaugh, Mark Charles Doctor of Medicine (MD)
Phone: (225) 603-5935

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1700352499
LBN Legal business name Mark Shoptaugh Jr. Md Llc
DBA Doing business as
Authorized official Shoptaugh, Mark Charles Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2018
Last updated Oct 19th, 2018 - about 8 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 1700352499 NPPES
Louisiana MEDICAID 2107615

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