Doctor Name: | RYAN PICKERT |
NPI Number: | 1851762421 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 1201 Clearview Pkwy Metairie, LA - 700013419 |
Business Phone Number: | 5047364800 |
Business Fax Number: | |
Mailing Address: | 3106 Upperline St, NEW ORLEANS |
State: | LA |
Postal Code: | 701255043 |
Phone Number: | 5612024732 |
Fax Number: | |
NPI Enumeration Date: | 10/08/2015 |
NPI Last Update Date: | 10/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225500000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |