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Contact Information

BONE & JOINT CLINIC
4633 WICHERS DR
MARRERO, LA70072-3002
 Phone: 504-347-5421
 Fax: 504-378-9331
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BONE JOINT CLINIC · (Female)

NPI Number 1174522122
Status Active
Credentials
Entity Individual
Enumeration date 07/20/2005
Last updated 05/08/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA Medicaid 1109347
  • LA Other 0222340001 MEDICARE NSC
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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