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SICK DAY RX LLC NPI 1639798291


NPI Information

NPI: 1639798291
Provider Name: SICK DAY RX LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
817 ARDENNES CT
SHREVEPORT, LA
ZIP 71115
Phone: (318) 347-6220
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SICK DAY RX LLC is a primary care clinic center in Shreveport, LA. SICK DAY RX LLC NPI is 1639798291. The provider is registered as an organization entity type.

The provider's business location address is:

817 ARDENNES CT
SHREVEPORT, LA
ZIP 71115-613
Phone: (318) 347-6220

The provider's authorized official is Kelly Smith Crawford .
The authorized official title is Owner and has the following contact phone number (318) 347-6220.

The enumeration date for this NPI number is 4/14/2020 and was last updated on 4/14/2020.


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
1261QP2300XClinic/CenterPrimary CareYes

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
12197959MEDICAIDLOUISIANA

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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