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JEFFEREY DOUGLAS ADAIR MD NPI 1245710920


NPI Information

NPI: 1245710920
Provider Name: JEFFEREY DOUGLAS ADAIR MD

Doing Business As: ARKLATEX SPINE

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 19D2064386

Address:
8860 FERN AVE.
SUITE 120
SHREVEPORT, LA
ZIP 71105
Phone: (318) 841-9999
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JEFFEREY DOUGLAS ADAIR MD is a non pharmacy dispensing site in Shreveport, LA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) JEFFEREY DOUGLAS ADAIR MD NPI is 1245710920. The provider is registered as an organization entity type.
The provider Is Doing Business As Arklatex Spine.

The provider's business location address is:

8860 FERN AVE.
SUITE 120
SHREVEPORT, LA
ZIP 71105
Phone: (318) 841-9999
Fax: (318) 841-9996

The provider's authorized official is Mackenzie Hahn .
The authorized official title is Ncpdp Coordinator and has the following contact phone number (855) 296-3757.

The CLIA number assigned to this NPI record is 19D2064386 - community clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/21/2018 and was last updated on 8/21/2018.


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
1332900000XNon-Pharmacy Dispensing SiteMD.020437LOUISIANAYes

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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