Individual
TED CARMICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1002 N PARKERSON AVE, CROWLEY, LA 70526-3613
(337) 783-7263
(337) 783-8996
Mailing address
1002 N PARKERSON AVUE, CROWLEY, LA 70526
(337) 783-7263
(337) 783-8996
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0156400001
LA
332BC3200X
Customized Equipment (DME)
0156400001
LA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0156400001
LA
332BX2000X
Oxygen Equipment & Supplies (DME)
0156400001
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1217611
—
LA
Enumeration date
03/28/2008
Last updated
03/28/2008
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