Northwest Lousiana Physcial Medicine in Shreveport - Physical Medicine & Rehabilitation
Northwest Lousiana Physcial Medicine - NPI 1720071590
Northwest Lousiana Physcial Medicine is a Physical Medicine & Rehabilitation in Shreveport, Louisiana. Northwest Lousiana Physcial Medicine practices all healthcare services and medical treatments related to Physical Medicine & Rehabilitation. The NPI Number for Northwest Lousiana Physcial Medicine is 1720071590. The last update date is 2010-03-03.
Northwest Lousiana Physcial Medicine's current location address is 1801 Fairfield Ave, Shreveport, Louisiana. You can contact this provider via phone number 3184244224 and fax number 3184244044. The mailing address for Northwest Lousiana Physcial Medicine is 1801 Fairfield Ave, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Northwest Lousiana Physcial Medicine |
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Address | 1801 Fairfield Ave, Shreveport, Louisiana |
Phone Number | 3184244224 |
Fax Number | 3184244044 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Courtney Jenness |
Credentials | MD |
Telephone Number | 3184244224 |
NPI Number Detail
NPI Number | 1720071590 |
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Provider Enumeration Date | 2005-08-26 |
Last Updated Date | 2010-03-03 |
Provider Mailing Address Detail
Address | 1801 Fairfield Ave |
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City | Shreveport |
State | Louisiana (LA) |
Post Code | 711014443 |
Phone Number | 3184244224 |
Fax Number | 3184244044 |
Provider's Primary Taxonomy Detail
Speciality | Physical Medicine & Rehabilitation |
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Taxonomy | 208100000X |
Definition: Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affectin |
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What is the Northwest Lousiana Physcial Medicine's 1720071590?
The Northwest Lousiana Physcial Medicine's NPI (National Provider Identifier) Number is 1720071590. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Northwest Lousiana Physcial Medicine's facilities are geographically located?
The facilities of Northwest Lousiana Physcial Medicine are physically situated at the following location: 1801 Fairfield Ave, Shreveport, LA, 711014443.
What is Northwest Lousiana Physcial Medicine's specialized field of practice, and what is the corresponding taxonomy classification code?
The Northwest Lousiana Physcial Medicine's area of specialization is Physical Medicine & Rehabilitation, and the corresponding taxonomy code that categorizes this field of practice is 208100000X.
On what date did the Northwest Lousiana Physcial Medicine receive the assignment of its 1720071590 from the Centers for Medicare & Medicaid Services?
The Northwest Lousiana Physcial Medicine was issued its 1720071590 by the Centers for Medicare & Medicaid Services on 2005-08-26.
When was the Northwest Lousiana Physcial Medicine's information last updated?
The Northwest Lousiana Physcial Medicine's information was last updated on 2010-03-03.