Peter Hertzak M.D. Pmc

LBN: Peter Hertzak M.D. Pmc
Peter Hertzak M.D. Pmc is an health care organization with primary practice located at 985 Robert Blvd Ste 102 , Slidell LA 70458-2063. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Peter Hertzak M.D. Pmc can be contacted via phone (985) 641-6300, or through Hertzak, Peter H via phone (985) 641-6300.

Contact Information

Primary practice address
985 Robert Blvd Ste 102 Slidell LA 70458-2063
Phone: (985) 641-6300
Fax: (985) 646-1409
Website:
Map and Directions
Authorized official contact:
Name: Hertzak, Peter H
Phone: (985) 641-6300

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 05273R Louisiana

Profile Details

NPI number 1205075256
LBN Legal business name Peter Hertzak M.D. Pmc
DBA Doing business as
Authorized official Hertzak, Peter H
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2009
Last updated Apr 15th, 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 1205075256 NPPES
Louisiana MEDICAID 1311308

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