Provider Demographics
NPI:1558083287
Name:SYNC LIFE LLC
Entity Type:Organization
Organization Name:SYNC LIFE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MAX
Authorized Official - Middle Name:
Authorized Official - Last Name:HUFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-425-7962
Mailing Address - Street 1:18303 PERKINS RD E STE 403
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-3300
Mailing Address - Country:US
Mailing Address - Phone:225-425-7962
Mailing Address - Fax:225-271-2917
Practice Address - Street 1:18303 PERKINS RD E STE 403
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-3300
Practice Address - Country:US
Practice Address - Phone:225-425-7962
Practice Address - Fax:225-271-2917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202D00000XAllopathic & Osteopathic PhysiciansIntegrative MedicineGroup - Single Specialty