John L Fambrough in Hammond - Specialist

John L Fambrough - NPI 1659314623

John L Fambrough is a Specialist in Hammond, Louisiana. John L Fambrough practices all healthcare services and medical treatments related to Specialist. The NPI Number for John L Fambrough is 1659314623. The last update date is 2010-02-24.

John L Fambrough's current location address is 15781 Professional Plz, Hammond, Louisiana. You can contact this provider via phone number 9855421533 and fax number 9855426713. The mailing address for John L Fambrough is 15781 Professional Plz, Hammond, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name John L Fambrough
Address 15781 Professional Plz, Hammond, Louisiana
Phone Number 9855421533
Fax Number 9855426713
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1659314623
Provider Enumeration Date 2006-06-14
Last Updated Date 2010-02-24

Provider Mailing Address Detail

Address 15781 Professional Plz
City Hammond
State Louisiana (LA)
Post Code 704031452
Phone Number 9855421533
Fax Number 9855426713

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 11330
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
51992C490 LA MEDICARE PTAN
1172561 LA --

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FAQs about John L Fambrough

What is the unique provider identifier assigned to John L Fambrough?

The John L Fambrough has been issued the NPI (National Provider Identifier) 1659314623 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where John L Fambrough is physically located?

The John L Fambrough is situated at the following address: 15781 Professional Plz, Hammond, LA 704031452.

What is John L Fambrough's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The John L Fambrough's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

On what date did the John L Fambrough receive its 1659314623 assignment from the Centers for Medicare & Medicaid Services?

The John L Fambrough was assigned its 1659314623 by the Centers for Medicare & Medicaid Services on 2006-06-14.

When was the John L Fambrough's information last updated?

The John L Fambrough's information was last updated on 2010-02-24.

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