Provider Demographics
NPI:1184838310
Name:FERTILITYANSWERS, LLC
Entity Type:Organization
Organization Name:FERTILITYANSWERS, LLC
Other - Org Name:FERTILITY & WOMEN'S HEALTH CENTER OF LOUISIANA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUTHIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-989-8795
Mailing Address - Street 1:206 E FARREL RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-7104
Mailing Address - Country:US
Mailing Address - Phone:337-989-8795
Mailing Address - Fax:337-989-8766
Practice Address - Street 1:206 E FARREL RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-7104
Practice Address - Country:US
Practice Address - Phone:337-989-8795
Practice Address - Fax:337-989-8766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA54606CC35OtherMEDICARE PTAN