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SPINE INSTITUTE OF LOUISIANA LLC NPI 1629369210


NPI Information

NPI: 1629369210
Provider Name: SPINE INSTITUTE OF LOUISIANA LLC

Doing Business As: SPINE INSTITUTE OF LOUISIANA

Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

CLIA Number: 19D2101124

Address:
1500 LINE AVE
SUITE 200
SHREVEPORT, LA
ZIP 71101
Phone: (318) 629-5555
Get Directions

SPINE INSTITUTE OF LOUISIANA LLC is an orthopaedic surgery of the spine orthopaedic surgery in Shreveport, LA. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. SPINE INSTITUTE OF LOUISIANA LLC NPI is 1629369210. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Spine Institute Of Louisiana.

The provider's business location address is:

1500 LINE AVE
SUITE 200
SHREVEPORT, LA
ZIP 71101-639
Phone: (318) 629-5555
Fax: (318) 629-5556

The provider's authorized official is Pierce D. Nunley .
The authorized official title is Medical Director and has the following contact phone number (318) 629-5555.

The CLIA number assigned to this NPI record is 19D2101124 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/29/2011 and was last updated on 5/5/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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