Manuel Medical Clinic, Inc. in Lafayette - Pediatrics
Manuel Medical Clinic, Inc. - NPI 1679620603
Manuel Medical Clinic, Inc. is a Pediatrics in Lafayette, Louisiana. Manuel Medical Clinic, Inc. practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Manuel Medical Clinic, Inc. is 1679620603. The last update date is 2020-04-21.
Manuel Medical Clinic, Inc.'s current location address is 104 Genevieve Dr, Lafayette, Louisiana. You can contact this provider via phone number 3379840110 and fax number 3379817210. The mailing address for Manuel Medical Clinic, Inc. is 104 Genevieve Dr, Lafayette, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Manuel Medical Clinic, Inc. |
|---|---|
| Address | 104 Genevieve Dr, Lafayette, Louisiana |
| Phone Number | 3379840110 |
| Fax Number | 3379817210 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Manuel V Powlin |
| Credentials | MD |
| Telephone Number | 3379840110 |
NPI Number Detail
| NPI Number | 1679620603 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2020-04-21 |
Provider Mailing Address Detail
| Address | 104 Genevieve Dr |
|---|---|
| City | Lafayette |
| State | Louisiana (LA) |
| Post Code | 705034811 |
| Phone Number | 3379840110 |
| Fax Number | 3379817210 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | AP05389 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2138332 | LA | -- | |
| 1033901 | LA | -- | |
| 1171689 | LA | -- | |
| 2381369 | LA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Manuel Medical Clinic, Inc.?
The Manuel Medical Clinic, Inc. has been issued the NPI (National Provider Identifier) 1679620603 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Manuel Medical Clinic, Inc. is geographically located?
The Manuel Medical Clinic, Inc. is physically situated at the following location: 104 Genevieve Dr, Lafayette, LA, 705034811.
What is Manuel Medical Clinic, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Manuel Medical Clinic, Inc. is Pediatrics, and the taxonomy code that categorizes this field of expertise is 363Lp0200X.
On what date did Manuel Medical Clinic, Inc. receive its 1679620603 assignment from the Centers for Medicare & Medicaid Services?
The Manuel Medical Clinic, Inc. was assigned its 1679620603 on 2007-01-04, 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 pertaining to Manuel Medical Clinic, Inc. last refreshed?
The information related to the Manuel Medical Clinic, Inc., including its address, specialty, and other relevant details, was last updated on 2020-04-21.
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