Bossier Ear Nose And Throat

LBN: Willis-Knighton Medical Center, Inc.
Bossier Ear Nose And Throat is an health care organization with primary practice located at 2300 Hospital Dr Suite 320, Bossier City LA 71111-2394. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. Willis-Knighton Medical Center, Inc. can be contacted via phone (318) 212-7952, or through Gavin, Greg J. via phone (318) 212-7952.

Contact Information

Primary practice address
2300 Hospital Dr Suite 320 Bossier City LA 71111-2394
Phone: (318) 212-7952
Fax: (318) 212-7949
Website:
Map and Directions
Authorized official contact:
Name: Gavin, Greg J.
Phone: (318) 212-7952

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X

Profile Details

NPI number 1396789749
LBN Legal business name Willis-Knighton Medical Center, Inc.
DBA Doing business as Bossier Ear Nose And Throat
Authorized official Gavin, Greg J.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 16th, 2006
Last updated Dec 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396789749 NPPES
Louisiana MEDICAID 1450812

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