Healthcare Provider Details
I. General information
NPI: 1457559650
Provider Name (Legal Business Name): SCHABELMAN & VORHOFF, APMC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/10/2007
Last Update Date: 07/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 W ESPLANADE AVE STE 405
KENNER LA
70065-2489
US
IV. Provider business mailing address
200 W ESPLANADE AVE STE 405
KENNER LA
70065-2489
US
V. Phone/Fax
- Phone: 504-305-3500
- Fax: 504-305-3502
- Phone: 504-305-3500
- Fax: 504-305-3502
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GREGORY
R
VORHOFF
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 504-305-3500