John Kalieb Pourciau in Lake Charles - Foot & Ankle Surgery
John Kalieb Pourciau - NPI 1053589580
John Kalieb Pourciau is a Foot & Ankle Surgery in Lake Charles, Louisiana. John Kalieb Pourciau practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for John Kalieb Pourciau is 1053589580. The last update date is 2017-01-30.
John Kalieb Pourciau's current location address is 1747 Imperial Blvd, Lake Charles, Louisiana. You can contact this provider via phone number 3377217236 and fax number 3377217237. The mailing address for John Kalieb Pourciau is 1747 Imperial Blvd, Lake Charles, Louisiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | John Kalieb Pourciau |
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Address | 1747 Imperial Blvd, Lake Charles, Louisiana |
Phone Number | 3377217236 |
Fax Number | 3377217237 |
Sole Proprietor | N |
Credentials | D.P.M. |
NPI Number Detail
NPI Number | 1053589580 |
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Provider Enumeration Date | 2008-02-19 |
Last Updated Date | 2017-01-30 |
Provider Mailing Address Detail
Address | 1747 Imperial Blvd |
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City | Lake Charles |
State | Louisiana (LA) |
Post Code | 706055362 |
Phone Number | 3377217236 |
Fax Number | 3377217237 |
Provider's Primary Taxonomy Detail
Speciality | Foot & Ankle Surgery |
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Taxonomy | 213Es0103X |
Licence No | DPM200016 |
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1198501 | LA | -- |
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What is the unique 10-digit identifier code assigned to John Kalieb Pourciau by the Centers for Medicare & Medicaid Services?
The John Kalieb Pourciau has been issued the NPI (National Provider Identifier) 1053589580 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of John Kalieb Pourciau?
The John Kalieb Pourciau is situated at 1747 Imperial Blvd, in the city of Lake Charles, state of LA, with the zip code 706055362.
What is the John Kalieb Pourciau's area of specialization and corresponding taxonomy classification?
The John Kalieb Pourciau's specialty field is Foot & Ankle Surgery, and it falls under the taxonomy code 213Es0103X, which categorizes healthcare providers based on their specialties.
On what date did John Kalieb Pourciau receive its 1053589580 assignment from the Centers for Medicare & Medicaid Services?
The John Kalieb Pourciau was assigned its 1053589580 on 2008-02-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding John Kalieb Pourciau, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John Kalieb Pourciau, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-01-30.
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