National Provider Identifier Database

SOUTHEAST NEUROSCIENCE CENTER LLC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

SOUTHEAST NEUROSCIENCE CENTER, LLC
128 NEUROSCIENCE CT
GRAY, LA70359
Phone: 985-917-3007
Fax: 985-917-3010
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for SOUTHEAST NEUROSCIENCE CENTER, LLC

NPI Number 1285630129
Legal business name
LBN
SOUTHEAST NEUROSCIENCE CENTER, LLC
Authorized official JASMINE MARTINES - (BILLING)
Entity Organization
Organization subpart No
Enumeration date 06/24/2005
Last updated 04/23/2026 - About 1 months ago
Sole proprietor1 Not specified
Identifiers
  • LA Medicaid: 1947482

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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