Organization
NEUROCEPT IOM, LLC
Active
Organization
NEUROCEPT IOM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC OBERLANDER M.D. (MANAGING MEMBER)
(225) 442-3563
Entity
Organization
Contact information
Practice address
9618 JEFFERSON HWY # 189, BATON ROUGE, LA 70809-9636
(225) 442-3563
Mailing address
9618 JEFFERSON HWY # 189, BATON ROUGE, LA 70809-9636
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
—
—
2084N0400X
Neurology Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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