Organization
NICHOLSON BAEHR CALHOUN MDS LTD APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF HENDERSON (VP)
(225) 753-0887
Entity
Organization
Contact information
Practice address
829 BARATARIA BLVD, MARRERO, LA 70072-1839
(504) 347-4537
(504) 341-8425
Mailing address
829 BARATARIA BLVD, MARRERO, LA 70072-1839
(504) 347-4537
(504) 341-8425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1940054
—
LA
01
—
CP2574
RAILROAD MEDICARE
LA
Enumeration date
05/17/2006
Last updated
04/20/2008
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