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Contact Information

HERBERT ICHINOSE, MD APMC
1361 ENGLEWOOD DR
SLIDELL, LA70458-3009
 Phone: 985-781-9005
 Fax: 985-781-9007
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist/Technologist, Pathology

246Q00000X
 

Histology

246QH0600X
Indicates primary specialty

NPI Profile & details for HERBERT ICHINOSE MD APMC · (Female)

NPI # 1720212392
Status Active
Credentials
Entity Individual
Enumeration date 05/11/2009
Last updated 05/11/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA License # MD.008092
  • LA Medicaid 1107921
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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