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HEALTHSTAT ON-SITE CLINIC/EBRSO NPI 1891124160


NPI Information

NPI: 1891124160
Provider Name: HEALTHSTAT ON-SITE CLINIC/EBRSO
Classification: Preventive Medicine - 2083P0500X
Entity Type: Organization

Specialization: Preventive Medicine/Occupational Environmental Medicine

CLIA Number: 19D2019054

Address:
2891 ROSENWALD RD
BATON ROUGE, LA
ZIP 70807
Phone: (225) 355-1253
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HEALTHSTAT ON-SITE CLINIC/EBRSO is a preventive medicine/occupational environmental medicine preventive medicine in Baton Rouge, LA. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. HEALTHSTAT ON-SITE CLINIC/EBRSO NPI is 1891124160. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2891 ROSENWALD RD
BATON ROUGE, LA
ZIP 70807-451
Phone: (225) 355-1253

The provider's authorized official is Warren Hutton .
The authorized official title is Coo and has the following contact phone number (704) 529-6161.

The CLIA number assigned to this NPI record is 19D2019054 - other - chronic disease mgt clnc with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2013 and was last updated on 11/6/2013.


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
12083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental MedicineYes

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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