Individual
MRS. VIRGIE KAY INGLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LRPSGT, RST
Contact information
Practice address
100 MEDICAL CENTER DR, SLEEP DISORDERS CENTER, SLIDELL, LA 70461-5520
(985) 646-5711
(985) 646-5013
Mailing address
100 MEDICAL CENTER DR, SLEEP DISORDERS CENTER, SLIDELL, LA 70461-5520
(985) 264-7002
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
POLY.000245
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
271770321
TAX ID
LA
01
—
720276883
TAX ID
LA
Enumeration date
07/17/2014
Last updated
06/18/2015
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