Healthcare Provider Details
I. General information
NPI: 1821431024
Provider Name (Legal Business Name): FELMAN INSTITUTE FOR WELLNESS AND LONGEVITY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/08/2013
Last Update Date: 04/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
455 EAST AIRPORT ROAD
BATON ROUGE LA
70806
US
IV. Provider business mailing address
455 EAST AIRPORT DRIVE
BATON ROUGE LA
70806
US
V. Phone/Fax
- Phone: 225-201-0950
- Fax: 225-201-9938
- Phone: 225-201-0950
- Fax: 225-201-9938
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208VP0014X |
| Taxonomy | Interventional Pain Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ARNOLD
FELDMAN
Title or Position: PHYSICIAN/PRESIDENT
Credential: M.D.
Phone: 225-201-0950