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JOE BEN HOLDEN M.D. LLC NPI 1154557312


NPI Information

NPI: 1154557312
Provider Name: JOE BEN HOLDEN M.D., LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
421 NORTH AVENUE F
CROWLEY, LA
ZIP 70527
Phone: (337) 788-0832
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JOE BEN HOLDEN M.D., LLC is a general practice in Crowley, LA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee JOE BEN HOLDEN M.D., LLC NPI is 1154557312. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

421 NORTH AVENUE F
CROWLEY, LA
ZIP 70527-098
Phone: (337) 788-0832
Fax: (337) 783-6210

The provider's authorized official is Joe B Holden .
The authorized official title is Owner/sole Proprietor/physician and has the following contact phone number (337) 788-0832.

The enumeration date for this NPI number is 6/2/2009 and was last updated on 6/2/2009.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice0079577LOUISIANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11427020825MEDICAIDLOUISIANA

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: 5/5/2024

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