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Contact Information

WESTSIDE EAR, NOSE & THROAT
59325 RIVER WEST DRIVE
SUITE C
PLAQUEMINE, LA70764
 Phone: 225-687-4477
 Fax: 225-687-9797
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for WESTSIDE EAR, NOSE & THROAT

NPI # 1407067820
LBN Legal business name WESTSIDE EAR, NOSE & THROAT
Authorized official MICHAEL DILEO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/25/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
LA License # MD.021089
LA Medicaid 1974382
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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