NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

MID STATE ORTHOPAEDIC & SPORTS MEDICINE CENTER LLC
429 ROCKY BAYOU DRIVE
PINEVILLE, LA71360
 Phone: 318-473-9556
 Fax: 318-484-6032
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MID STATE ORTHOPAEDIC SPORTS MEDICINE CENTER LLC · (Female)

NPI # 1093262123
Status Active
Credentials
Entity Individual
Enumeration date 09/07/2016
Last updated 07/20/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA License # 9317843
  • LA Medicaid 1946320
  • LA Other CD7720 RAILROAD MEDICARE
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.

Reviews for MID STATE ORTHOPAEDIC & SPORTS MEDICINE CENTER LLC

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for MID STATE ORTHOPAEDIC & SPORTS MEDICINE CENTER LLC
Be the first to post a comment or review.


Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby Doctors & Physicians
DANIEL R OAS, DO
MID STATE ORTHOAPEDIC AND SPORTS MEDICINE CENTER, LLC
ALEXANDRIA, LA
JEFFREY L GARRISON, MD
3444 MASONIC DRIVE
ALEXANDRIA, LA
MID STATE ORTHOPAEDIC & SPORTS MEDICINE CENTER, LLC
3444 MASONIC DRIVE
ALEXANDRIA, LA
SONYA M SLOAN, MD
3330 MASONIC DR
ALEXANDRIA, LA
RASHAD J SULLIVAN, MD
3444 MASONIC DRIVE
ALEXANDRIA, LA
TIMMOTHY R RANDELL, MD
3444 MASONIC DRIVE
ALEXANDRIA, LA
MID STATE ORTHOPAEDIC URGENT CARE, LLC
3444 MASONIC DRIVE
ALEXANDRIA, LA
MID STATE ORTHOPAEDICS & SPORTS MEDICINE CENTER LLC
224 PECAN PARK
ALEXANDRIA, LA
ROBERT PO, MD
2495 SHREVEPORT HIGHWAY
ALEXANDRIA, LA
DARIC D BASS SR, LMT, CPT, CES.
126 BELLEAUWOOD CIRCLE
126 BELLEAUWOOD CIRCLE, BELLE CHASSE, LA, LA

  View all Doctors & Physicians
v2.403