Organization Name: | THIBODAUX ORTHOPAEDIC AND SPORTS MEDICINE CLINIC |
NPI Number: | 1922194232 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NEIL J MAKI (PRESIDENT) |
Mailing Address: | 525 Saint Mary St Thibodaux |
State: | LA US |
Postal Code: | 703012627 |
Phone Number: | 9854466284 |
Fax Number: | |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 11/15/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 013892 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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. |