Organization
COMPREHENSIVE INDEPENDENT GOALS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONNIE M MCGOWAN (PRES/CFO)
(225) 926-5190
Entity
Organization
Contact information
Practice address
2138 WOODDALE BLVD, STE 3, BATON ROUGE, LA 70806-1443
(225) 926-5190
(225) 926-6964
Mailing address
2138 WOODDALE BLVD, STE 3, BATON ROUGE, LA 70806-1443
(225) 926-5190
(225) 926-6964
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1157384
—
LA
05
—
1157392
—
LA
05
—
1173835
—
LA
05
—
1642649
—
LA
Enumeration date
08/03/2010
Last updated
08/03/2010
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