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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

NPI Number 1720212392
LBN Legal business name HERBERT ICHINOSE, MD APMC
Authorized official HERBERT ICHINOSE - (MEDICAL DIRECTOR, OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/11/2009
Last updated 05/11/2009 - About 17 years ago
Identifiers
LA License # MD.008092
LA Medicaid 1107921
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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