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JONAH HEALTHCARE A PROFESSIONAL MEDICAL CORPORATION NPI 1952761686


NPI Information

NPI: 1952761686
Provider Name: JONAH HEALTHCARE, A PROFESSIONAL MEDICAL CORPORATION
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2328 LINE AVE
SHREVEPORT, LA
ZIP 71104
Phone: (318) 946-8793
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JONAH HEALTHCARE, A PROFESSIONAL MEDICAL CORPORATION is a primary care clinic center in Shreveport, LA. JONAH HEALTHCARE, A PROFESSIONAL MEDICAL CORPORATION NPI is 1952761686. The provider is registered as an organization entity type.

The provider's business location address is:

2328 LINE AVE
SHREVEPORT, LA
ZIP 71104-131
Phone: (318) 946-8793

The provider's authorized official is Howard Lippton .
The authorized official title is President and has the following contact phone number (318) 946-8793.

The enumeration date for this NPI number is 2/23/2016 and was last updated on 2/23/2016.


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

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.