Provider Demographics
NPI:1164770897
Name:CHOICE MEDICAL CARE LLC
Entity Type:Organization
Organization Name:CHOICE MEDICAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:RICHARME
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:225-803-3561
Mailing Address - Street 1:8068 GOODWOOD BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-7631
Mailing Address - Country:US
Mailing Address - Phone:225-927-4433
Mailing Address - Fax:
Practice Address - Street 1:8068 GOODWOOD BOULEVARD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-7631
Practice Address - Country:US
Practice Address - Phone:225-927-4433
Practice Address - Fax:225-927-4077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-28
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Single Specialty