Organization
WOMENS PRIMARY CARE
Active
Other names
Back in action Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES G GENGELBACH D.O. (OWNER)
(225) 408-1422
Entity
Organization
Contact information
Practice address
5145 BLUEBONNET BLVD, BATON ROUGE, LA 70809-3076
(225) 408-1422
(225) 408-1462
Mailing address
5145 BLUEBONNET BLVD, BATON ROUGE, LA 70809-3076
(225) 408-1422
(225) 408-1462
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
11665
LA
111N00000X
Chiropractor
1192
LA
207VG0400X
Gynecology Physician
Primary
021832
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G6134
BCBS
LA
Enumeration date
06/02/2008
Last updated
06/02/2008
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