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Contact Information

CRITICAL CARE MEDICINE SERVICES
7777 HENNESSY BLVD
SUITE 701
BATON ROUGE, LA70808-4300
 Phone: 225-769-5864
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CRITICAL CARE MEDICINE SERVICES · (Female)

NPI Number 1780872804
Status Active
Credentials
Entity Individual
Enumeration date 10/15/2007
Last updated 05/19/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA Medicaid 1023604
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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