Provider Demographics
NPI:1225392269
Name:HEALTHCARE ASSOCIATES OF BATON ROUGE
Entity Type:Organization
Organization Name:HEALTHCARE ASSOCIATES OF BATON ROUGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:
Authorized Official - First Name:BENJI
Authorized Official - Middle Name:J
Authorized Official - Last Name:ARBONEAUX
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:225-372-3752
Mailing Address - Street 1:9655 PERKINS RD STE C-115
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-1533
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9655 PERKINS RD STE C-115
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-1533
Practice Address - Country:US
Practice Address - Phone:225-372-3752
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-25
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN101880363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty