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LOUISIANA NEUROLOGIC SPECIALTIES INC NPI 1417098385


NPI Information

NPI: 1417098385
Provider Name: LOUISIANA NEUROLOGIC SPECIALTIES INC
Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
Entity Type: Organization
Address:
7929 YOUREE DR
SHREVEPORT, LA
ZIP 71105
Phone: (318) 424-3268
Get Directions

LOUISIANA NEUROLOGIC SPECIALTIES INC is a neuromusculoskeletal medicine sports medicine in Shreveport, LA. The provider is a Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/ LOUISIANA NEUROLOGIC SPECIALTIES INC NPI is 1417098385. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7929 YOUREE DR
SHREVEPORT, LA
ZIP 71105-538
Phone: (318) 424-3268
Fax: (318) 424-3280

The provider's authorized official is Benjamin Bang V. Nguyen .
The authorized official title is Owner and has the following contact phone number (318) 424-3268.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 8/24/2007.


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
1204C00000XNeuromusculoskeletal Medicine, Sports Medicine09699RLOUISIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15CC84MEDICARE ID-TYPE UNSPECIFIEDLOUISIANA
21981087MEDICAIDLOUISIANA
3F35071MEDICARE UPINLOUISIANA

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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