Healthcare Provider Details

I. General information

NPI: 1689505182
Provider Name (Legal Business Name): CAREY ROHRBECK HIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2626 COUNTRY CLUB RD
LAKE CHARLES LA
70605-5912
US

IV. Provider business mailing address

2626 COUNTRY CLUB RD
LAKE CHARLES LA
70605-5912
US

V. Phone/Fax

Practice location:
  • Phone: 337-240-6600
  • Fax:
Mailing address:
  • Phone: 337-240-6600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number1398
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: