All Age Medical P.C., Inc. in Bossier City - Medical Specialty
All Age Medical P.C., Inc. - NPI 1548440811
All Age Medical P.C., Inc. is a Medical Specialty in Bossier City, Louisiana. All Age Medical P.C., Inc. practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for All Age Medical P.C., Inc. is 1548440811. The last update date is 2012-01-20.
All Age Medical P.C., Inc.'s current location address is 2910 Shed Rd, Bossier City, Louisiana. You can contact this provider via phone number 3187418100 and fax number 3187415700. The mailing address for All Age Medical P.C., Inc. is 2910 Shed Rd, Bossier City, Louisiana. To know further, please read the information below!
Provider Profile Detail
Provider Organization | All Age Medical P.C., Inc. |
---|---|
Address | 2910 Shed Rd, Bossier City, Louisiana |
Phone Number | 3187418100 |
Fax Number | 3187415700 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO |
---|---|
Authorized Official Name | Blake-Mcmahon Natalie Andrea |
Credentials | M.D. |
Telephone Number | 3187418100 |
NPI Number Detail
NPI Number | 1548440811 |
---|---|
Provider Enumeration Date | 2007-11-05 |
Last Updated Date | 2012-01-20 |
Provider Mailing Address Detail
Address | 2910 Shed Rd |
---|---|
City | Bossier City |
State | Louisiana (LA) |
Post Code | 711113154 |
Phone Number | 3187418100 |
Fax Number | 3187415700 |
Provider's Primary Taxonomy Detail
Speciality | Medical Specialty |
---|---|
Taxonomy | 261Qm2500X |
Licence No | 14851R |
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1150185 | LA | -- | |
5CF72 | LA | GROUP PTAN # (CMS) |
Post Comment/ Review Below
What is the unique identifier code issued to All Age Medical P.C., Inc. by the Centers for Medicare & Medicaid Services?
The All Age Medical P.C., Inc. has been assigned the NPI (National Provider Identifier) 1548440811. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of All Age Medical P.C., Inc.?
The All Age Medical P.C., Inc. is situated at 2910 Shed Rd, in the city of Bossier City, state of LA, with the zip code 711113154.
What is All Age Medical P.C., Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The All Age Medical P.C., Inc.'s specialized field of practice is Medical Specialty, and the corresponding taxonomy code that categorizes this area of specialization is 261Qm2500X.
On what date did the Centers for Medicare & Medicaid Services issue the 1548440811 to All Age Medical P.C., Inc.?
The All Age Medical P.C., Inc. received its 1548440811 assignment from the Centers for Medicare & Medicaid Services on 2007-11-05.
As of what date were the All Age Medical P.C., Inc.'s details last updated?
The information pertaining to the All Age Medical P.C., Inc., including its address, specialty, and other details, was most recently updated on 2012-01-20.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY