Organization
INNOVATIVE HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH LEBLANC (PARTNER)
(877) 485-4474
Entity
Organization
Contact information
Practice address
1700 LINDBERG DR, SLIDELL, LA 70458-8062
(888) 447-2450
Mailing address
DEPT 960375, OKLAHOMA CITY, OK 73196-0375
(888) 447-2450
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
613067100
DEPT OF LABOR FECA
MS
05
—
8036268
—
MS
01
—
DF7310
RAILROAD MEDICARE
MS
Enumeration date
08/21/2006
Last updated
10/26/2009
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