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
Address 1801 Fairfield Ave, Shreveport, Louisiana
Phone Number 3184244224
Fax Number 3184244044
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Courtney Jenness
Credentials MD
Telephone Number 3184244224

NPI Number Detail

NPI Number 1720071590
Provider Enumeration Date 2005-08-26
Last Updated Date 2010-03-03

Provider Mailing Address Detail

Address 1801 Fairfield Ave
City Shreveport
State Louisiana (LA)
Post Code 711014443
Phone Number 3184244224
Fax Number 3184244044

Provider's Primary Taxonomy Detail

Speciality Physical Medicine & Rehabilitation
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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FAQs about Northwest Lousiana Physcial Medicine

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.

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