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COLEMANS OF LOUISIANA INC NPI 1700977436


NPI Information

NPI: 1700977436
Provider Name: COLEMANS OF LOUISIANA INC

Doing Business As: ADVANTAGE PROSTHETICS & ORTHOTICS

Classification: Orthotist - 222Z00000X
Entity Type: Organization
Address:
3821 SOUTHERN AVENUE
SHREVEPORT, LA
ZIP 71106
Phone: (318) 219-8800
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COLEMANS OF LOUISIANA INC is an orthotist in Shreveport, LA. The provider is a health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. COLEMANS OF LOUISIANA INC NPI is 1700977436. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advantage Prosthetics & Orthotics.

The provider's business location address is:

3821 SOUTHERN AVENUE
SHREVEPORT, LA
ZIP 71106
Phone: (318) 219-8800
Fax: (318) 219-8801

The provider's authorized official is Martha B Coleman .
The authorized official title is PRESIDENT OWNEROwner and has the following contact phone number (318) 219-8800.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 8/22/2020.


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
1222Z00000XOrthotistYes
2224P00000XProsthetistX
3332B00000XDurable Medical Equipment & Medical SuppliesX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C7891OTHERLOUISIANABCBS
21537306MEDICAIDLOUISIANA

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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