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NPI Code Detail

MEDICARE: IBH HOLDING LLC

MEDICARE: IBH HOLDING LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11619310257OTHERLAPSYCHIATRY
21932309325OTHERLAPSYCHIATRY
31780882118OTHERLAPSYCHIATRY
41922443381OTHERLAPSYCHIATRY
51487911392OTHERLAPSYCHIATRY

General Provider Information

NPI Number : 1376185702
Entity Type Code : Organization
Provider Name (Legal Business Name) : IBH HOLDING LLC
Provider Business Mailing Address
First Line : 400 POYDRAS ST STE 1950
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70130-3341
Country : US
Telephone Number : 504-322-3837
Fax Number : 504-322-3847
Provider Business Practice Location Address
First Line : 400 POYDRAS ST STE 1950
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70130-3341
Country : US
Telephone Number : 504-322-3837
Fax Number : 504-322-3847
Authorized Official
Title or Position : OWNER/PROVIDER
Name : DR. ANDREW MORSON
Credential : MD
Telephone Number : 504-322-3837
Provider Enumeration Date : 10/17/2019
Last Update Date : 10/17/2019

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Directions to “IBH HOLDING LLC ” Practice Location

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