Wk Pierremont Ent

LBN: Wk Pierremont Ent
Wk Pierremont Ent is an health care organization with primary practice located at 7847 Youree Dr , Shreveport LA 71105-5505. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. Wk Pierremont Ent can be contacted via phone (318) 212-3960, or through Gavin, Greg J. via phone (318) 212-3960.

Contact Information

Primary practice address
7847 Youree Dr Shreveport LA 71105-5505
Phone: (318) 212-3960
Fax: (318) 212-3907
Website:
Map and Directions
Authorized official contact:
Name: Gavin, Greg J.
Phone: (318) 212-3960

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X

Profile Details

NPI number 1659316727
LBN Legal business name Wk Pierremont Ent
DBA Doing business as
Authorized official Gavin, Greg J.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2006
Last updated Jan 23rd, 2013 - about 13 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 1659316727 NPPES
Louisiana MEDICAID 1034339

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