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Contact Information

OUR CLINIC, INC
4301 ELYSIAN FIELDS AVE
NEW ORLEANS, LA70122-3875
 Phone: 504-284-3866
 Fax: 504-284-3869
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for OUR CLINIC INC · (Female)

NPI # 1962673459
Status Active
Credentials
Entity Individual
Enumeration date 03/12/2008
Last updated 03/13/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA License # MD.06513R
  • LA Medicaid 1344681
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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