National Provider Identifier Database

CHRISTUS HEALTH CENTRAL LOUISIANA
Dental


Contact Information

CHRISTUS HEALTH CENTRAL LOUISIANA
1401 INDUSTRIAL DR
COUSHATTA, LA71019
Phone: 318-932-2100
Fax: 318-932-2010
Website:
Specialty Taxonomy Code
* Dental 261QD0000X

* Indicates primary specialty

NPI Profile & details for CHRISTUS HEALTH CENTRAL LOUISIANA

NPI Number 1790767267
Legal business name
LBN
CHRISTUS HEALTH CENTRAL LOUISIANA
Authorized official MONTE WILSON - (CEO)
Entity Organization
Organization subpart No
Enumeration date 11/18/2005
Last updated 10/20/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • LA License #: 551RHC-1
  • LA Medicaid: 1880795

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 CHRISTUS HEALTH CENTRAL LOUISIANA

There are currently no reviews for CHRISTUS HEALTH CENTRAL LOUISIANA


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