Whalio Doctors

NPI 1396868550

Northshore Incs, LLC

Organisation Point of Service Slidell, LA

Practice location

Address
742 E I 10 Service Rd, Slidell, LA 70461-5518
Phone
(985) 649-1605

Authorised official

Name
Chris Tedesco
Title
Program Coordinator
Phone
(985) 649-1605

Registered specialties

Point of Service Primary
Managed Care Organizations Taxonomy 305S00000X Licence 10387 (LA)

Registry record

NPI
1396868550
Entity type
Organization
NPI issued
10 Apr 2007
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.