Beau Stephen Black in Baton Rouge - Student In An Organized Health Care Education/training Program
Beau Stephen Black - NPI 1568621472
Beau Stephen Black is a Student In An Organized Health Care Education/training Program in Baton Rouge, Louisiana. Beau Stephen Black practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Beau Stephen Black is 1568621472. The last update date is 2014-06-18.
Beau Stephen Black's current location address is 8230 Summa Ave Ste C, Baton Rouge, Louisiana. You can contact this provider via phone number 2257570552 and fax number 2257639997. The mailing address for Beau Stephen Black is 8230 Summa Ave Ste C, Baton Rouge, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Beau Stephen Black |
|---|---|
| Address | 8230 Summa Ave Ste C, Baton Rouge, Louisiana |
| Phone Number | 2257570552 |
| Fax Number | 2257639997 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1568621472 |
|---|---|
| Provider Enumeration Date | 2008-06-05 |
| Last Updated Date | 2014-06-18 |
Provider Mailing Address Detail
| Address | 8230 Summa Ave Ste C |
|---|---|
| City | Baton Rouge |
| State | Louisiana (LA) |
| Post Code | 708093465 |
| Phone Number | 2257570552 |
| Fax Number | 2257639997 |
Provider's Primary Taxonomy Detail
| Speciality | Student In An Organized Health Care Education/training Program |
|---|---|
| Taxonomy | 390200000X |
|
Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1084484 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Beau Stephen Black by the Centers for Medicare & Medicaid Services?
The Beau Stephen Black has been assigned the NPI (National Provider Identifier) 1568621472 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Beau Stephen Black located?
The Beau Stephen Black is located at 8230 Summa Ave Ste C, Baton Rouge, LA 708093465.
What is Beau Stephen Black's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Beau Stephen Black is Student In An Organized Health Care Education/training Program, and the corresponding taxonomy classification code for this specialized field is 390200000X.
On what date did the Beau Stephen Black receive its 1568621472 assignment from the Centers for Medicare & Medicaid Services?
The Beau Stephen Black was assigned its 1568621472 by the Centers for Medicare & Medicaid Services on 2008-06-05.
When was the Beau Stephen Black's information last updated?
The Beau Stephen Black's information was last updated on 2014-06-18.