Wk Bossier Pediatric Partners

LBN: Wk Bossier Pediatric Partners
Wk Bossier Pediatric Partners is an health care organization with primary practice located at 2300 Hospital Dr Suite 120, Bossier City LA 71111-2394. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Wk Bossier Pediatric Partners can be contacted via phone (318) 212-7883, or through Gavin, Greg J via phone (318) 212-4232.

Contact Information

Primary practice address
2300 Hospital Dr Suite 120 Bossier City LA 71111-2394
Phone: (318) 212-7883
Fax: (318) 212-7885
Website:
Map and Directions
Authorized official contact:
Name: Gavin, Greg J
Phone: (318) 212-4232

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1649595950
LBN Legal business name Wk Bossier Pediatric Partners
DBA Doing business as
Authorized official Gavin, Greg J
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2010
Last updated Jun 12th, 2012 - about 14 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 1649595950 NPPES
Louisiana MEDICAID 2102583

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