Healthcare Provider Details

I. General information

NPI: 1134779101
Provider Name (Legal Business Name): SIDE-BY-SIDE MEDICAL SERVICES A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2019
Last Update Date: 02/10/2020
Certification Date: 02/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 E VETERANS MEML DR
KAPLAN LA
70548-5009
US

IV. Provider business mailing address

304 E VETERANS MEML DR
KAPLAN LA
70548-5009
US

V. Phone/Fax

Practice location:
  • Phone: 337-643-8424
  • Fax: 337-643-8407
Mailing address:
  • Phone: 337-643-8424
  • Fax: 337-643-8407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM ALDEN
Title or Position: OWNER
Credential: MD
Phone: 504-508-0057