Waggenspack Medical Group, Llc

LBN: Waggenspack Medical Group, Llc
Waggenspack Medical Group, Llc is an health care organization with primary practice located at 6723 Vicksburg St , New Orleans LA 70124-3321. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Waggenspack Medical Group, Llc can be contacted via phone (504) 875-4029, or through Waggenspack, Jeremy via phone (504) 875-4029.

Contact Information

Primary practice address
6723 Vicksburg St New Orleans LA 70124-3321
Phone: (504) 875-4029
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Waggenspack, Jeremy Doctor of Medicine (MD)
Phone: (504) 875-4029

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD203258 Louisiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD203258 Louisiana

Profile Details

NPI number 1770806077
LBN Legal business name Waggenspack Medical Group, Llc
DBA Doing business as
Authorized official Waggenspack, Jeremy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2010
Last updated Mar 11th, 2011 - about 15 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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