# PONTCHARTRAIN BONE & JOINT CLINIC, LTD.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pontchartrain Bone & Joint Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649351529
- **Authorized official:** DR. JEFFREY J SKETCHLER M.D. (PRESIDENT)
- **Authorized official phone:** (504) 885-6464

## Contact information

- **Practice address:** 3939 HOUMA BLVD, SUITE 21, METAIRIE, LA 70006-2931
- **Practice address phone:** (504) 885-6464
- **Practice address fax:** (504) 885-6414
- **Mailing address:** 3939 HOUMA BLVD, SUITE 21, METAIRIE, LA 70006-2931
- **Mailing address phone:** (504) 885-6464
- **Mailing address fax:** (504) 885-6414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 013824 | LA | Yes |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 11/23/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 02170 | BLUE CROSS BLUE SHIELD | — |
| 05 | — | 1796701 | — | LA |