Northlake Rehab Professionals in Hammond - Specialist
Northlake Rehab Professionals - NPI 1699744664
Northlake Rehab Professionals is a Specialist in Hammond, Louisiana. Northlake Rehab Professionals practices all healthcare services and medical treatments related to Specialist. The NPI Number for Northlake Rehab Professionals is 1699744664. The last update date is 2008-04-01.
Northlake Rehab Professionals's current location address is 2101 Robin Ave, Hammond, Louisiana. You can contact this provider via phone number 9853450033 and fax number 9853451199. The mailing address for Northlake Rehab Professionals is 2101 Robin Ave, Hammond, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northlake Rehab Professionals |
|---|---|
| Address | 2101 Robin Ave, Hammond, Louisiana |
| Phone Number | 9853450033 |
| Fax Number | 9853451199 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Roig L Randolph |
| Credentials | M.D. |
| Telephone Number | 9853450033 |
NPI Number Detail
| NPI Number | 1699744664 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2008-04-01 |
Provider Mailing Address Detail
| Address | 2101 Robin Ave |
|---|---|
| City | Hammond |
| State | Louisiana (LA) |
| Post Code | 704035773 |
| Phone Number | 9853450033 |
| Fax Number | 9853451199 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 09912R |
|
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 |
|---|---|---|---|
| 1680818 | LA | -- | |
| 1625345 | LA | -- |
Post Comment/ Review Below
What is the Northlake Rehab Professionals's unique identification number?
The Northlake Rehab Professionals has been assigned the NPI (National Provider Identifier) Number 1699744664 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Northlake Rehab Professionals is physically located?
The Northlake Rehab Professionals is situated at the following address: 2101 Robin Ave, Hammond, LA 704035773.
What is Northlake Rehab Professionals's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Northlake Rehab Professionals is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
When did Northlake Rehab Professionals receive its 1699744664 assignment?
The Northlake Rehab Professionals was assigned its 1699744664 on 2006-03-14, which is the date when this unique identifier was issued to the organization.
When was the Northlake Rehab Professionals's information last updated?
The Northlake Rehab Professionals's information was last updated on 2008-04-01.