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NPI Code Detail

MEDICARE: INDUSTRIAL OCCUPATIONAL SAFETY COUNCIL

MEDICARE: INDUSTRIAL OCCUPATIONAL SAFETY COUNCIL
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
1261QX0100XOccupational Medicine Clinic/CenterAP06891LA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1075950YK2HOTHERLAMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649680091
Entity Type Code : Organization
Provider Name (Legal Business Name) : INDUSTRIAL OCCUPATIONAL SAFETY COUNCIL
Provider Business Mailing Address
First Line : 9305 MAIN ST
Second Line : STE E
City : ZACHARY
State : LA
Zip : 70791-7441
Country : US
Telephone Number : 225-570-8474
Fax Number : 225-208-1035
Provider Business Practice Location Address
First Line : 9305 MAIN ST
Second Line : STE E
City : ZACHARY
State : LA
Zip : 70791-7441
Country : US
Telephone Number : 225-570-8474
Fax Number : 225-208-1035
Authorized Official
Title or Position : FAMILY NURSE PRACTITIONER
Name : MS. SUNNY Q THIBODEAUX
Credential : FNP
Telephone Number : 225-570-8474
Provider Enumeration Date : 05/06/2014
Last Update Date : 05/06/2014

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Directions to “INDUSTRIAL OCCUPATIONAL SAFETY COUNCIL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.