Provider Demographics
NPI:1780687822
Name:INCE, CHRISTINE J (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:J
Last Name:INCE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:605 MEDICAL CENTER DR STE B
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-8145
Mailing Address - Country:US
Mailing Address - Phone:318-442-2232
Mailing Address - Fax:318-442-2192
Practice Address - Street 1:605B MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-8127
Practice Address - Country:US
Practice Address - Phone:318-442-2232
Practice Address - Fax:318-442-2192
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2020-06-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA13422R207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1563714Medicaid
LA5H040Medicare ID - Type Unspecified
LA1563714Medicaid