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DR JONATHAN J GISCLAIR APMC DBA LAFOURCHE PODIATRY CLINIC NPI 1386832822


NPI Information

NPI: 1386832822
Provider Name: DR JONATHAN J GISCLAIR APMC DBA LAFOURCHE PODIATRY CLINIC

Doing Business As: LAFOURCHE PODIATRY CLINIC

Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
16148 W MAIN ST
CUT OFF, LA
ZIP 70345
Phone: (985) 325-3668
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DR JONATHAN J GISCLAIR APMC DBA LAFOURCHE PODIATRY CLINIC is a foot surgery podiatrist in Cut Off, LA. DR JONATHAN J GISCLAIR APMC DBA LAFOURCHE PODIATRY CLINIC NPI is 1386832822. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lafourche Podiatry Clinic.

The provider's business location address is:

16148 W MAIN ST
CUT OFF, LA
ZIP 70345-511
Phone: (985) 325-3668
Fax: (985) 325-3670

The provider's authorized official is Jonathan James Gisclair .
The authorized official title is President and has the following contact phone number (985) 325-3668.

The enumeration date for this NPI number is 10/10/2007 and was last updated on 1/15/2009.


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
1213ES0131XPodiatristFoot SurgeryPD0110LOUISIANAYes

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
11131211MEDICAIDLOUISIANA
25CS61MEDICARE PINLOUISIANA
35579250001MEDICARE NSCLOUISIANA

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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