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Contact Information

ALVAH T WICKBOLDT JR, MD
1514 JEFFERSON HWY
BRENT HOUSE ROOM 634
NEW ORLEANS, LA70121-2429
 Phone: 504-842-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ALVAH T WICKBOLDT JR · (Male)

NPI Number 1083971006
Status Active
Credentials MD
Entity Individual
Enumeration date 04/15/2012
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 305062
Hospital affiliation(s)
  • OCHSNER FOUNDATION HOSPITAL - (Acute Care)
    1516 JEFFERSON HWY
    NEW ORLEANS, LA 70121
  • OCHSNER MEDICAL CENTER-KENNER LLC - (Acute Care)
    180 WEST ESPLANADE AVENUE
    KENNER, LA 70065
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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