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Organization

HEALTHSMART HOUSE CALLS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TIMOTHY S NEIDIGH FNP-BC (OWNER)
(337) 905-6895
Entity
Organization

Contact information

Practice address
711 IROQUOIAN DR, LAKE CHARLES, LA 70611-4940
(337) 905-6895
(337) 905-6896
Mailing address
PO BOX 12590, LAKE CHARLES, LA 70612-2590
(337) 905-6895
(337) 905-6896

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP04229
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1167274
LA
01
4C709
MEDICARE
LA
Enumeration date
11/09/2010
Last updated
11/09/2010
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