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CORE CLINICS LLC NPI 1093023285


NPI Information

NPI: 1093023285
Provider Name: CORE CLINICS, LLC
Classification: Physician Assistant - 363A00000X
Entity Type: Organization

CLIA Number: 19D2015932

Address:
10059 N. REIGER ROAD
BATON ROUGE, LA
ZIP 70809
Phone: (225) 456-2330
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CORE CLINICS, LLC is a physician assistant in Baton Rouge, LA. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. CORE CLINICS, LLC NPI is 1093023285. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10059 N. REIGER ROAD
BATON ROUGE, LA
ZIP 70809
Phone: (225) 456-2330
Fax: (225) 456-2301

The provider's authorized official is Major Mittendorf .
The authorized official title is Managing Partner and has the following contact phone number (225) 756-2676.

The CLIA number assigned to this NPI record is 19D2015932 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/22/2010 and was last updated on 1/26/2012.


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
1363A00000XPhysician AssistantYes

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: 11/14/2023

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