Organization Name: | DAVID BRUCE HEBERT, MD,APMLLC |
NPI Number: | 1881879112 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID B HEBERT (SOLE MEMBER) |
Mailing Address: | 2364 Gause Blvd E Suite 101 Slidell |
State: | LA US |
Postal Code: | 704614141 |
Phone Number: | 9856412202 |
Fax Number: | 9856412888 |
NPI Enumeration Date: | 01/05/2008 |
NPI Last Update Date: | 10/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 13798 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |