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AGAPE EAR NOSE & THROAT CLINIC PC NPI 1386867968


NPI Information

NPI: 1386867968
Provider Name: AGAPE EAR NOSE & THROAT CLINIC PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1608 S 5TH ST
LEESVILLE, LA
ZIP 71446
Phone: (337) 392-1000
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AGAPE EAR NOSE & THROAT CLINIC PC is a specialist in Leesville, LA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. AGAPE EAR NOSE & THROAT CLINIC PC NPI is 1386867968. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1608 S 5TH ST
LEESVILLE, LA
ZIP 71446-304
Phone: (337) 392-1000
Fax: (337) 392-1099

The provider's authorized official is Steven Kenneth Sewell .
The authorized official title is Physician and has the following contact phone number (337) 392-1000.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 9/14/2011.


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
1174400000XSpecialist12272RLOUISIANAYes

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
15CX36OTHERLOUISIANAMEDICARE ID
2C4958OTHERLOUISIANABCBS PROVIDER NUMBER
31697664MEDICAIDLOUISIANA

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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