Individual
DR. JOHN WALLACE NOBLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1747 IMPERIAL BLVD, LAKE CHARLES, LA 70605-5362
(337) 721-7236
(337) 721-7237
Mailing address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 433-8400
(337) 312-6711
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
020895
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020895
STATE LICENSE NO.
LA
05
—
1927961
—
LA
01
—
200040861
RR MEDICARE #
LA
01
—
5R007D847
MEDICARE LEGACY NUMBER
LA
01
—
CI9478
RR MEDICARE GROUP LEGACY
LA
01
—
K9628
STATE LICENSE NO.
TX
Enumeration date
05/16/2006
Last updated
01/30/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us