Gno Primary Care Services | |
4417 Lorino St Ste 103 Metairie LA 70006-6801 | |
(504) 905-7846 | |
Not Available |
Full Name | Gno Primary Care Services |
---|---|
Speciality | Family Medicine |
Location | 4417 Lorino St Ste 103, Metairie, Louisiana |
Authorized Official Name and Position | Christopher B Rue (OWNER) |
Authorized Official Contact | 5049057846 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Gno Primary Care Services 608 Maryland Ave Metairie LA 70003-7036 Ph: (504) 905-7846 | Gno Primary Care Services 4417 Lorino St Ste 103 Metairie LA 70006-6801 Ph: (504) 905-7846 |
NPI Number | 1942929096 |
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Provider Enumeration Date | 08/23/2022 |
Last Update Date | 08/23/2022 |
Medicare PECOS PAC ID | 6709247125 |
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Medicare Enrollment ID | O20230802001059 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942929096 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Christopher B Rue |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689173296 PECOS PAC ID: 0446511349 Enrollment ID: I20180705001004 |
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