Provider Demographics
NPI:1548391360
Name:JAMES B. DENNEY, MD APMC
Entity Type:Organization
Organization Name:JAMES B. DENNEY, MD APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:BUELL
Authorized Official - Last Name:DENNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:985-641-5330
Mailing Address - Street 1:609 BROWNSWITCH RD
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-1233
Mailing Address - Country:US
Mailing Address - Phone:985-641-5330
Mailing Address - Fax:985-641-6589
Practice Address - Street 1:609 BROWNSWITCH RD
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-1233
Practice Address - Country:US
Practice Address - Phone:985-641-5330
Practice Address - Fax:985-641-6589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.0129062084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1155179Medicaid
LA1155179Medicaid
LAB61547Medicare UPIN