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Contact Information

INTEGRA HEALTH SERVICES PROFESSIONAL CORPORATION
1110 RINGGOLD AVE STE B
COUSHATTA, LA71019-9004
 Phone: 318-798-4606
 Fax: 318-798-4601
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Long Term Care Hospital

282E00000X A0[7] Hospital-Long-Term (PPS excluded)
 

Rehabilitation Hospital

283X00000X A0[7] Hospital-Rehabilitation (PPS excluded)
Indicates primary specialty

NPI Profile & details for INTEGRA HEALTH SERVICES PROFESSIONAL CORPORATION · (Female)

NPI # 1861915415
Status Active
Credentials
Entity Individual
Enumeration date 07/25/2017
Last updated 03/17/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA License # MD.11956R
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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