Johnny Ray Biddle in Lake Charles - Specialist
Johnny Ray Biddle - NPI 1902010952
Johnny Ray Biddle is a Specialist in Lake Charles, Louisiana. Johnny Ray Biddle practices all healthcare services and medical treatments related to Specialist. The NPI Number for Johnny Ray Biddle is 1902010952. The last update date is 2015-11-10.
Johnny Ray Biddle's current location address is 630 W Prien Lake Rd, Lake Charles, Louisiana. You can contact this provider via phone number 3379366893 and fax number 3375640931. The mailing address for Johnny Ray Biddle is 630 W Prien Lake Rd, Lake Charles, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Johnny Ray Biddle |
|---|---|
| Address | 630 W Prien Lake Rd, Lake Charles, Louisiana |
| Phone Number | 3379366893 |
| Fax Number | 3375640931 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1902010952 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2015-11-10 |
Provider Mailing Address Detail
| Address | 630 W Prien Lake Rd |
|---|---|
| City | Lake Charles |
| State | Louisiana (LA) |
| Post Code | 706010700 |
| Phone Number | 3379366893 |
| Fax Number | 3375640931 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 05629R |
|
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 |
|---|---|---|---|
| 1347795 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Johnny Ray Biddle by the Centers for Medicare & Medicaid Services?
The Johnny Ray Biddle has been assigned the NPI (National Provider Identifier) 1902010952 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Johnny Ray Biddle?
The Johnny Ray Biddle is physically situated at 630 W Prien Lake Rd, in the city of Lake Charles, state of LA, with the postal code 706010700.
What is Johnny Ray Biddle's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Johnny Ray Biddle is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did Johnny Ray Biddle receive its 1902010952 assignment from the Centers for Medicare & Medicaid Services?
The Johnny Ray Biddle was assigned its 1902010952 on 2007-05-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Johnny Ray Biddle most recently updated or revised?
The information pertaining to Johnny Ray Biddle, including its address, specialty, and other relevant details, was last updated or revised on 2015-11-10.
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