NPI 1477689305

Spine Clinic of Baton Rouge

Organisation Rehabilitation Practitioner Baton Rouge, LA

Practice location

Address: 5211 Essen Ln Suite 1, Baton Rouge, LA 70809-3564
Phone: (225) 766-5050
Fax: (225) 766-2052

Authorised official

Name: George John Ivanicky
Title: Owner
Phone: (225) 766-5050

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence 024904 (LA)

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Registry record

NPI: 1477689305
Entity type: Organization
NPI issued: 26 Feb 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.